Organization Active NPI

Gifted Touch Homehealth

  • Home Health Agency
  • Fairfax, VA
National Provider Identifier
1639671472
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCO-1770 Issued in VA
Legal business name
GIFTED TOUCH HOMEHEALTH
Practice address
11350 Random Hills Rd Ste 800
Fairfax, VA 22030-6044
Phone
(571) 215-1704
NPI assigned
Mar 7, 2018
Last updated
Mar 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

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

Authorized official

Name
Secret Madawo, RN
Title
Ceo/Administartor
Phone
(571) 215-1704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCO-1770 VA Primary

Addresses

Primary practice location

11350 Random Hills Rd Ste 800
Fairfax, VA 22030-6044

Mailing address

3977 Burning Bush CT
Fairfax, VA 22033-2447
Phone (571) 215-1704

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520380800000",
    "number": "1639671472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3977 BURNING BUSH CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332447",
            "telephone_number": "571-215-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 RANDOM HILLS RD STE 800",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306044",
            "telephone_number": "571-215-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFTED TOUCH HOMEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A",
        "authorized_official_last_name": "MADAWO",
        "authorized_official_first_name": "SECRET",
        "authorized_official_title_or_position": "CEO/ADMINISTARTOR",
        "authorized_official_telephone_number": "571-215-1704",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-1770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; 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.