Active NPI
Amani Home Care Inc.
- Home Health Agency
- Fairfax, VA
National Provider Identifier
1609542703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AMANI HOME CARE INC.
- Practice address
- 4012 Williamsburg CT
Fairfax, VA 22032-1139 - Phone
- (866) 262-6483
- Fax
- (855) 918-1011
- NPI assigned
- Aug 18, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Domician Richard Kuboja
- Title
- Owner
- Phone
- (703) 314-6454
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
4012 Williamsburg CT
Fairfax, VA 22032-1139
Mailing address
4012 Williamsburg CT
Fairfax, VA 22032-1139
Phone (866) 262-6483
Other names 1
- Amani Home Care Inc.
National Provider Directory
National Provider DirectoryLocations
4012 Williamsburg Ct
Fairfax, VA 22032
Phone (703) 425-2273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629244800000",
"number": "1609542703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4012 WILLIAMSBURG CT",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220321139",
"telephone_number": "866-262-6483",
"fax_number": "855-918-1011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4012 WILLIAMSBURG CT",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220321139",
"telephone_number": "866-262-6483",
"fax_number": "855-918-1011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMANI HOME CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-18",
"last_updated": "2021-08-18",
"certification_date": "2021-08-14",
"status": "A",
"authorized_official_last_name": "KUBOJA",
"authorized_official_first_name": "DOMICIAN",
"authorized_official_middle_name": "RICHARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-314-6454",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Amani Home Care Inc.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.