NPIMap

Organization Active NPI

Esprit Homecare LLC

  • Durable Medical Equipment & Medical Supplies
  • Leesburg, VA
National Provider Identifier
1578648143
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0206008438 Issued in VA
Legal business name
ESPRIT HOMECARE LLC
Practice address
750 Miller Dr SE
Suite F1
Leesburg, VA 20175-8916
Phone
(703) 777-3389
NPI assigned
Oct 25, 2006
Last updated
Jun 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Mr. Zelalem B Dagne
Title
Managing Director
Phone
(703) 998-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0206008438 VA Primary

Addresses

Primary practice location

750 Miller Dr SE
Suite F1
Leesburg, VA 20175-8916

Mailing address

750 Miller Dr SE
Suite F1
Leesburg, VA 20175-8916
Phone (703) 777-3389

Other identifiers 5

IdentifierTypeStateIssuer
009116389MedicaidVA
573366OtherVAAETNA
208902OtherVAANTHEM BCBS
299610OtherVAAMERIGROUP
485019OtherVANCPPO

National Provider Directory

National Provider Directory
Tax ID family
Esprit Homecare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

750 Miller Dr SE
Ste F1
Leesburg, VA 20175
Phone (703) 777-3389

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1578648143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MILLER DR SE",
            "address_2": "SUITE F1",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201758916",
            "telephone_number": "703-777-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MILLER DR SE",
            "address_2": "SUITE F1",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201758916",
            "telephone_number": "703-777-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESPRIT HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "DAGNE",
        "authorized_official_first_name": "ZELALEM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "703-998-7400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0206008438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009116389",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "573366",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "208902",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "299610",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "485019",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.