American Home Health Team LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AMERICAN HOME HEALTH TEAM LLC

Doing business as

non

Practice address

4242 Chain Bridge Rd Ste B
Fairfax, VA 22030-8146

Phone

(703) 639-7888

Fax

(703) 995-4747

NPI assigned

Sep 25, 2019

Organization subpart

No

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

Authorized official

Name

Ismail Mohamed

Title

Administrator

Phone

(703) 639-7888

Specialties & licenses 1

Addresses

Other names 1

• non Doing business as

Locations

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1568013100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 JEFFERSON DAVIS HWY STE 600",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222024016",
            "telephone_number": "571-775-8911",
            "fax_number": "703-563-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 CHAIN BRIDGE RD STE B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308146",
            "telephone_number": "703-639-7888",
            "fax_number": "703-995-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HOME HEALTH TEAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-25",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "ISMAIL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-639-7888"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "non",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "non",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.