Organization Active NPI

Rosa Mystica Professional Home Health Care Services LLC

  • Home Health Registered Nurse
  • Arlington, VA
National Provider Identifier
1639843949
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
ROSA MYSTICA PROFESSIONAL HOME HEALTH CARE SERVICES LLC
Practice address
1200 S Courthouse Rd Apt 127
Arlington, VA 22204-6258
Phone
(703) 826-9551
NPI assigned
Aug 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Authorized official

Name
Ms. Nkechi Eke
Title
RN
Phone
(682) 227-9815

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

1200 S Courthouse Rd Apt 127
Arlington, VA 22204-6258

Mailing address

1200 S Courthouse Rd Apt 127
Arlington, VA 22204-6258
Phone (703) 826-9551

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1639843949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S COURTHOUSE RD APT 127",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222046258",
            "telephone_number": "703-826-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S COURTHOUSE RD APT 127",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222046258",
            "telephone_number": "703-826-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSA MYSTICA PROFESSIONAL HOME HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "EKE",
        "authorized_official_first_name": "NKECHI",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "682-227-9815",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.