Esprit Personalcare, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

1527697 Issued in VA

Legal business name

ESPRIT PERSONALCARE, LLC

Practice address

4209 Evergreen LN Ste 101
Annandale, VA 22003-3210

Phone

(703) 998-7400

NPI assigned

Jun 24, 2015

Last updated

Jun 24, 2015By 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

Mr. Zelalem Dagne

Title

Managing Director

Phone

(703) 998-7400

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1518349729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 EVERGREEN LN STE 101",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033210",
            "telephone_number": "703-998-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209 EVERGREEN LN STE 101",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033210",
            "telephone_number": "703-998-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESPRIT PERSONALCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "DAGNE",
        "authorized_official_first_name": "ZELALEM",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "703-998-7400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "1527697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "385H00000X",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3747P1801X",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Envision Counseling, LLC
• Marisa Jo Erskine
• Carmen Julia Escaba, FNP-BC
• Karen Lorena Ruiz Escobar
• Esprit Home Healthcare LLC
• Esstee LLC (ZiaCare Autism Services)
• Esteemcare, Inc
• Evenbeam Neuropalliative Care, LLC
• Evergreen Foot and Ankle LLC
• Evergreen Health Care Management LLC

• In Home Supportive Care Agency in Annandale, VA
• Providers in Annandale, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.