Elaborate Home Healthcare Services, LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

ELABORATE HOME HEALTHCARE SERVICES, LLC

Practice address

6413 Rivington Rd
Springfield, VA 22152-2914

Phone

(703) 935-9442

NPI assigned

Feb 1, 2018

Organization subpart

No

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

Authorized official

Name

Katherine Eyegue-Sandy, DNP, APRN, CRNP

Title

Ceo/President

Phone

(215) 594-9392

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613865600000",
    "number": "1629576947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6413 RIVINGTON RD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221522914",
            "telephone_number": "202-294-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6413 RIVINGTON RD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221522914",
            "telephone_number": "703-935-9442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5586 General Washington Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223122465",
            "country_code": "US",
            "telephone_number": "215-594-9392",
            "fax_number": "215-594-9392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELABORATE HOME HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2021-02-21",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "EYEGUE-SANDY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "215-594-9392",
        "authorized_official_credential": "DNP, APRN, CRNP"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Eichel, BCBA
• Lisa Michelle Eickel, M.S. CCC-SLP
• Blessing Ekemezie
• Lamis El Hassani
• Dana Haissam El-Jannoun, DMD
• Joseph Elam, COTA
• Elevate International LLC
• Ahmed M Elghobashi, DDS
• Manhal Eliliwi
• Marc A Eller, M.D.

• Developmental Disabilities Clinic/Center in Springfield, VA
• Providers in Springfield, VA by specialty
• Developmental Disabilities Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2021; 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.