Oval Beach, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HCO-171284 Issued in VA

Legal business name

OVAL BEACH, LLC

Practice address

9720 Capital CT Ste 100
Manassas, VA 20110-2049

Phone

(703) 686-4820

Fax

(703) 686-4854

NPI assigned

Sep 28, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Anthony John Fiore

Title

Owner/Ceo

Phone

(703) 628-2629

Specialties & licenses 1

Addresses

Other names 1

• Comfort Keepers Manassas Doing business as

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1467901736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9720 CAPITAL CT STE 100",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201102049",
            "telephone_number": "703-686-4820",
            "fax_number": "703-686-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9720 CAPITAL CT STE 100",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201102049",
            "telephone_number": "703-686-4820",
            "fax_number": "703-686-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVAL BEACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "FIORE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "703-628-2629",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-171284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers Manassas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patience Otaigbe
• Victoria Jane Otchere, LPC
• Kathleen Ann Otero, LPC
• Joseph V. Otto, O.D.
• Stephanie Bile Oulatta, MSW
• Sandra Owusu-Sekyere
• P. Otaigbe Behavioral & Mental Health Consultant LLC
• Karina Padgett
• Gabriela Padron, LPC
• Eduardo Felix Paez, LPC, LSATP

• Home Health Agency in Manassas, VA
• Providers in Manassas, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.