Active NPI
Lilac Healthcare Services Inc
- Home Health Agency
- Vienna, VA
National Provider Identifier
1629492749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.