Active NPI
Rosa Mystica Professional Home Health Care Services LLC
- Home Health Registered Nurse
- Arlington, VA
National Provider Identifier
1639843949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 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 DirectoryNPI 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.