Active NPI
Allied Health Care LLC
- Home Health Agency
- Fairfax, VA
National Provider Identifier
1649865882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ALLIED HEALTH CARE LLC
- Practice address
- 11130 Fairfax Blvd
Fairfax, VA 22030-5035 - Phone
- (240) 575-4698
- NPI assigned
- Mar 9, 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
- Francis Ndangum
- Title
- Owner/Ceo
- Phone
- (240) 575-4698
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X | |||
| Home Health Aide | 374U00000X |
Addresses
Primary practice location
11130 Fairfax Blvd
Fairfax, VA 22030-5035
Mailing address
13116 Memory LN
Fairfax, VA 22033-3506
Phone (240) 575-4698
National Provider Directory
National Provider DirectoryLocations
11130 Fairfax Blvd
Fairfax, VA 22030
Phone (240) 575-4698
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Aide
- Washington, DC
- NPI 1437402005
-
- Family Nurse Practitioner
- Largo, MD
- NPI 1467132928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615248000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705795200000",
"number": "1649865882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13116 MEMORY LN",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220333506",
"telephone_number": "240-575-4698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11130 FAIRFAX BLVD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220305035",
"telephone_number": "240-575-4698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLIED HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-09",
"last_updated": "2024-01-21",
"certification_date": "2024-01-21",
"status": "A",
"authorized_official_last_name": "NDANGUM",
"authorized_official_first_name": "FRANCIS",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "240-575-4698"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
}
],
"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 Jan 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.