Active NPI
Seniors Home Assistance, LLC
- Home Health Agency
- Fairfax, VA
National Provider Identifier
1568096493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SENIORS HOME ASSISTANCE, LLC
- Practice address
- 11350 Random Hills Rd Ste 800
Fairfax, VA 22030-6044 - Phone
- (855) 274-5000
- NPI assigned
- Mar 1, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marwan Abu-Fadel
- Title
- Managing Member
- Phone
- (855) 274-5000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
11350 Random Hills Rd Ste 800
Fairfax, VA 22030-6044
Mailing address
11350 Random Hills Rd Ste 800
Fairfax, VA 22030-6044
Phone (855) 274-5000
Other names 1
- Options For Senior America
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589760000000",
"number": "1568096493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11350 RANDOM HILLS RD STE 800",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220306044",
"telephone_number": "855-274-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11350 RANDOM HILLS RD STE 800",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220306044",
"telephone_number": "855-274-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIORS HOME ASSISTANCE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-01",
"last_updated": "2020-05-18",
"certification_date": "2020-05-18",
"status": "A",
"authorized_official_last_name": "ABU-FADEL",
"authorized_official_first_name": "MARWAN",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "855-274-5000"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Options For Senior America",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.