Active NPI
Desired Living Home Care LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Woodbridge, VA
National Provider Identifier
1669949905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- DESIRED LIVING HOME CARE LLC
- Practice address
- 2349 Battery Hill Cir
Woodbridge, VA 22191-6515 - Phone
- (571) 225-9860
- Fax
- (540) 388-4647
- NPI assigned
- Oct 24, 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
- Salamatu Kamara, RN, MSN
- Title
- Ceo/Owner
- Phone
- (571) 225-9860
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
2349 Battery Hill Cir
Woodbridge, VA 22191-6515
Mailing address
2349 Battery Hill Cir
Woodbridge, VA 22191-6515
Phone (571) 225-9860
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1540339200000",
"number": "1669949905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2349 BATTERY HILL CIR",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221916515",
"telephone_number": "571-225-9860",
"fax_number": "540-388-4647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2349 BATTERY HILL CIR",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221916515",
"telephone_number": "571-225-9860",
"fax_number": "540-388-4647"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESIRED LIVING HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-24",
"last_updated": "2018-10-24",
"status": "A",
"authorized_official_last_name": "KAMARA",
"authorized_official_first_name": "SALAMATU",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "571-225-9860",
"authorized_official_credential": "RN, MSN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.