Organization Active NPI

Nathaja Homecare LLC

  • Home Health Agency
  • Alexandria, VA
National Provider Identifier
1457189870
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NATHAJA HOMECARE LLC
Practice address
3824 Miramonte PL
Alexandria, VA 22309-1451
Phone
(571) 276-3016
NPI assigned
Jul 25, 2024
Last updated
Nov 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Haja E Tarawallie
Title
Owner
Phone
(571) 276-3016

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Nursing Care Agency 251J00000X NU
Chore Provider 372500000X NU
Attendant Care Provider 3747A0650X NU
Respite Care 385H00000X NU

Addresses

Primary practice location

3824 Miramonte PL
Alexandria, VA 22309-1451

Mailing address

3824 Miramonte PL
Alexandria, VA 22309-1451
Phone (571) 276-3016

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1457189870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 MIRAMONTE PL",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223091451",
            "telephone_number": "571-276-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 MIRAMONTE PL",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223091451",
            "telephone_number": "571-276-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAJA HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "TARAWALLIE",
        "authorized_official_first_name": "HAJA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-276-3016"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.