Organization Active NPI

Lilac Healthcare Services Inc

  • Home Health Agency
  • Vienna, VA
National Provider Identifier
1629492749
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LILAC HEALTHCARE SERVICES INC
Practice address
1604 Spring Hill Rd
Suite 273
Vienna, VA 22182
Phone
(240) 615-6514
NPI assigned
Feb 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Authorized official

Name
Mr. George Fogha
Title
Ceo
Phone
(240) 615-6514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1604 Spring Hill Rd
Suite 273
Vienna, VA 22182

Mailing address

1604 Spring Hill Rd
Suite 273
Vienna, VA 22182

National Provider Directory

National Provider Directory

Locations

1604 Spring Hill Rd
Ste 273
Vienna, VA 22182
Phone (240) 615-6514

NPI Registry JSON

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1629492749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 SPRING HILL RD",
            "address_2": "SUITE 273",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "22182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 SPRING HILL RD",
            "address_2": "SUITE 273",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "22182",
            "telephone_number": "240-615-6514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILAC HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "FOGHA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-615-6514",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.