Active NPI
Gifted Touch Homehealth
- Home Health Agency
- Fairfax, VA
National Provider Identifier
1639671472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HCO-1770
- 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, 2018
- 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
- Secret Madawo, RN
- Title
- Ceo/Administartor
- Phone
- (571) 215-1704
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.