NPIMap

Organization Active NPI

Countrycare Home Health LLC

Doing business as CountryCare Home Health

  • Home Health Agency
  • Falls Church, VA
National Provider Identifier
1619524089
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COUNTRYCARE HOME HEALTH LLC
Doing business as
CountryCare Home Health
Practice address
6269 Leesburg Pike Ste 105
Falls Church, VA 22044-2103
Phone
(703) 621-3187
Fax
(703) 842-1194
NPI assigned
Aug 21, 2019
Last updated
Aug 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Authorized official

Name
Paul JajanNPI 1003462953
Title
Administrator
Phone
(703) 621-3187

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6269 Leesburg Pike Ste 105
Falls Church, VA 22044-2103

Mailing address

6269 Leesburg Pike Ste 105
Falls Church, VA 22044-2103

Other names 1

  • CountryCare Home Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Countrycare Home Health6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1619524089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6269 LEESBURG PIKE STE 105",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6269 LEESBURG PIKE STE 105",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442103",
            "telephone_number": "703-621-3187",
            "fax_number": "703-842-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRYCARE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "JAJAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-621-3187"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CountryCare Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.