Blue Dove Home Health Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BLUE DOVE HOME HEALTH SERVICES LLC

Practice address

8424 Dorsey Cir 201
Manassas, VA 20110-8301

Phone

(703) 361-1016

NPI assigned

Jun 27, 2012

Organization subpart

No

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

Authorized official

Name

Elizabeth Tabod

Title

President/Ceo

Phone

(703) 361-1016

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Home health agency certification: CCN 497701

Legal name

BLUE DOVE HOME HEALTH SERVICES LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 11, 2013

Last certification

Sep 11, 2013

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Apr 7, 2012 in VA

Enrollment address

8424 Dorsey Cir 201
Manassas, VA 20110-8301

Listed as

Blue Dove Home Health Services, LLCCCN 497701

Overall star rating

3.5 of 5

Ownership

Proprietary

Certified

Sep 11, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Soujanya Biragoni, M.D.

  • Family Medicine Physician
  • Haymarket, VA
  • NPI 1639400963

  Home health agency

  Care Compare affiliation
• Thomas Charles Dotson, M.D.P.C.

  • Internal Medicine Physician
  • Manassas, VA
  • NPI 1659356079

  Home health agency

  Care Compare affiliation
• William Bartley Hosick, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Manassas, VA
  • NPI 1922051119

  Home health agency

  Care Compare affiliation
• Young Kwan Kim, D.O.

  • Internal Medicine Physician
  • Manassas, VA
  • NPI 1932106911

  Home health agency

  Care Compare affiliation
• Robert John McGill, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Fort Belvoir, VA
  • NPI 1952513632

  Home health agency

  Care Compare affiliation
• Michael D Perez, M.D.

  • Family Medicine Physician
  • Manassas, VA
  • NPI 1609876135

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1598029290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8424 DORSEY CIR STE 201",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201108301",
            "telephone_number": "703-361-1016",
            "fax_number": "703-361-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8424 DORSEY CIR 201",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201108301",
            "telephone_number": "703-361-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE DOVE HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "TABOD",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "703-361-1016"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Blereau, NP
• Kyle Steven Bloch, D.C.
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• Daniel G Blymyer, LCSW
• Prince Boafo
• Timothy Capers Boan, PA-C
• Portia Boateng
• Amy Kathleen Boazman-Steele

• All providers in Manassas, VA
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.