NPIMap

Organization Active NPI

Carevana Home Health Inc.

  • Home Health Agency
  • MC Lean, VA
National Provider Identifier
1609425792
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CAREVANA HOME HEALTH INC.
Practice address
1340 Old Chain Bridge Rd Ste 405
MC Lean, VA 22101-3927
Phone
(571) 327-2077
Fax
(571) 378-1394
NPI assigned
Sep 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Authorized official

Name
Erika SalvadorNPI 1407405749
Title
Owner
Phone
(571) 332-0656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1340 Old Chain Bridge Rd Ste 405
MC Lean, VA 22101-3927

Mailing address

1340 Old Chain Bridge Rd Ste 405
MC Lean, VA 22101-3927
Phone (571) 327-2077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201005001622 VA Part A Provider - Home Health Agency 2062831456 Practice locations: MC Lean, VA

Home health agency certification: CCN 497778

Legal name
CAREVANA HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 2, 2021
Last certification
Jul 2, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 17, 2019 in VA
Enrollment address
1340 Old Chain Bridge Rd
Ste 405
MC Lean, VA 22101-3927

Care Compare: Home health agency

Medicare Care Compare
Listed as
Carevana Home Health IncCCN 497778
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jul 2, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2200496Carevana Home Health Inc1340 Old Chain Bridge Road Suite 405, McLean, VA 22101Certificate of waiverNov 15, 2026

National Provider Directory

National Provider Directory

Locations

1340 Old Chain Bridge Rd
Ste 405
Mc Lean, VA 22101
Phone (571) 327-2077

Ownership & related parties

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.

NameRoleSinceShare
Evelia Aleta Individual 5% Or Greater Direct Ownership Interest Jul 17, 2019 10%
Corporate OfficerCorporate Secretary/Board Member Jul 17, 2019
Corporate DirectorCorporate Secretary/Board Member Jul 17, 2019
W-2 Managing EmployeeCorporate Secretary/Board Member Jul 17, 2019
Erika Salvador Individual 5% Or Greater Direct Ownership Interest Jul 17, 2019 90%
Corporate OfficerCeo/Cfo/Board Member Jul 17, 2019
Corporate DirectorCeo/Cfo/Board Member Jul 17, 2019
W-2 Managing EmployeeCeo/Cfo/Board Member Jul 17, 2019

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1609425792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 OLD CHAIN BRIDGE RD STE 405",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013927",
            "telephone_number": "571-327-2077",
            "fax_number": "571-378-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 OLD CHAIN BRIDGE RD STE 405",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013927",
            "telephone_number": "571-327-2077",
            "fax_number": "571-378-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREVANA HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "SALVADOR",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-332-0656"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

Verify at the official NPI Registry.