Organization Active NPI

Aa Home Health Assistance, LLC

  • In Home Supportive Care Agency
  • Raleigh, NC
National Provider Identifier
1457948820
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AA HOME HEALTH ASSISTANCE, LLC
Practice address
6141 Piedmont Ridge Cir
Raleigh, NC 27616-4683
Phone
(919) 717-1982
NPI assigned
Dec 30, 2020
Last updated
May 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Authorized official

Name
Vanessah Lee Anderson
Title
Owner
Phone
(919) 717-1982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

6141 Piedmont Ridge Cir
Raleigh, NC 27616-4683

Mailing address

6141 Piedmont Ridge Cir
Raleigh, NC 27616-4683
Phone (919) 717-1982

Other identifiers 1

IdentifierTypeStateIssuer
85437776MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL vanessah.anderson628@gmail.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1457948820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6141 PIEDMONT RIDGE CIR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276164683",
            "telephone_number": "919-717-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6141 PIEDMONT RIDGE CIR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276164683",
            "telephone_number": "919-717-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AA HOME HEALTH ASSISTANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-30",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "VANESSAH",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-717-1982"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85437776",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "vanessah.anderson628@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6141 Piedmont Ridge Cir",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276164683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.