VA Residential Healthcare Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HCO-151236 Issued in VA

Legal business name

VA RESIDENTIAL HEALTHCARE SERVICES, LLC

Practice address

3130 Golansky Blvd Ste 202
Woodbridge, VA 22192-4268

Phone

(703) 486-6367

Fax

(703) 991-0462

NPI assigned

Jan 15, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Hassan Elsiah, RPT

Title

Ceo/Owner

Phone

(347) 350-0898

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1588053482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 GOLANSKY BLVD STE 202",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924268",
            "telephone_number": "703-486-6367",
            "fax_number": "703-991-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 GOLANSKY BLVD STE 202",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924268",
            "telephone_number": "703-486-6367",
            "fax_number": "703-991-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA RESIDENTIAL HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ELSIAH",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "347-350-0898",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-151236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VDH LICENSURE",
            "identifier": "HCO-1511236",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.