Organization Active NPI

Home Care Assistance of Virginia LLC

  • In Home Supportive Care Agency
  • MC Lean, VA
National Provider Identifier
1629326533
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HCO-13558 Issued in VA
Legal business name
HOME CARE ASSISTANCE OF VIRGINIA LLC
Practice address
6723 Curran St
MC Lean, VA 22101-3804
Phone
(703) 356-4333
NPI assigned
Aug 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Authorized official

Name
Mr. Kenneth Hansen
Title
President
Phone
(703) 356-4333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HCO-13558 VA Primary

Addresses

Primary practice location

6723 Curran St
MC Lean, VA 22101-3804

Mailing address

6723 Curran St
MC Lean, VA 22101-3804
Phone (703) 356-4333

Other identifiers 1

IdentifierTypeStateIssuer
HCO-13558OtherVAVIRGINIA HOME CARE ORGANIZATION

Other names 1

  • Home Care Assistance Doing business as

National Provider Directory

National Provider Directory

Locations

6723 Curran St
Mc Lean, VA 22101
Phone (703) 356-4333

NPI Registry JSON

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1629326533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6723 CURRAN ST",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013804",
            "telephone_number": "703-356-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6723 CURRAN ST",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013804",
            "telephone_number": "703-356-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE ASSISTANCE OF VIRGINIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-356-4333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "HCO-13558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA HOME CARE ORGANIZATION",
            "identifier": "HCO-13558",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Care Assistance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.