Organization Active NPI

Amani Home Care Inc.

  • Home Health Agency
  • Fairfax, VA
National Provider Identifier
1609542703
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Aug 18, 2021

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)CodeLicenseStatePrimary
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. Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.