Senior Home Care Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SENIOR HOME CARE SERVICES LLC

Practice address

12801 Worldgate Dr
Suite 500
Herndon, VA 20170-4393

Phone

(571) 259-9384

Fax

(571) 259-9384

NPI assigned

Aug 28, 2012

Last updated

Aug 28, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Freshta Nawabi, RN

Title

President

Phone

(571) 259-9384

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1518215227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12801 WORLDGATE DR",
            "address_2": "SUITE 500",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704393",
            "telephone_number": "571-259-9384",
            "fax_number": "571-259-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 WORLDGATE DR",
            "address_2": "SUITE 500",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704393",
            "telephone_number": "571-259-9384",
            "fax_number": "571-259-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "NAWABI",
        "authorized_official_first_name": "FRESHTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-259-9384",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Herndon, VA
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• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.