Hands of Mercy Group Home LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

HANDS OF MERCY GROUP HOME LLC

Practice address

12783 Cruz CT
Fairfax, VA 22030-7283

Phone

(703) 635-3306

Fax

(703) 830-3699

NPI assigned

Nov 6, 2019

Last updated

Nov 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Faduma Hussein

Title

Ceo

Phone

(571) 338-2684

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1609410273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10560 MAIN ST STE 406",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307174",
            "telephone_number": "703-635-3306",
            "fax_number": "703-830-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12783 CRUZ CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307283",
            "telephone_number": "703-635-3306",
            "fax_number": "703-830-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANDS OF MERCY GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "HUSSEIN",
        "authorized_official_first_name": "FADUMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "571-338-2684"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hand and Upper Extremity Rehab, LLC
• Hand and Upper Extremity Rehab, LLC
• Hand Therapy Specialists, Inc
• Suzanne M Hand, MD
• Grace Beshara Handal, PHARMD
• Steven Jay Handwerger
• Lavell Tyre Handy, DC
• Reza Hangval, DDS
• Kelly Ann Hanik, MOTR/L
• Lori Hanline, AU.D.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.