Long Healthcare

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

LONG HEALTHCARE

Practice address

12998 Taxi Drive
Woodbridge, VA 22193

Phone

(240) 793-1375

NPI assigned

Jun 23, 2011

Last updated

Jun 23, 2011By 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

Ms. Erica Catherine Bouling, CNA

Title

Owner

Phone

(240) 793-1375

Specialties & licenses 3

Addresses

Other names 1

• E-Staff (Old Name) Other name

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1619263092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1033",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22193",
            "telephone_number": "240-793-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12998 TAXI DRIVE",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22193",
            "telephone_number": "240-793-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "BOULING",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-793-1375",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E-Staff (Old Name)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christine A Loftus, DPT
• Yen Logan
• Arya Mohammad Reza Loghmani
• Ivy Tillman Lomax, LCSW
• Andrea C Lomboy
• Cornelia Hawkins Long, M.S. CCC-SLP
• John D Long Jr., MD
• Natalie Paige Long, O.T.
• Susanne K Long, PSYCHOLOGIST
• Flor I Lopez, FNP

• Home Health Aide in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Home Health Aide in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.