Blue Nile Home Health Care LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

BLUE NILE HOME HEALTH CARE LLC

Practice address

4380 King St Apt 807
Alexandria, VA 22302-1544

Phone

(571) 719-1319

NPI assigned

Feb 1, 2022

Last updated

Feb 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mohamed Elghoul

Title

Owner

Phone

(424) 356-8573

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1679226401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4380 KING ST APT 807",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021544",
            "telephone_number": "571-719-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4380 KING ST APT 807",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021544",
            "telephone_number": "571-719-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE NILE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "ELGHOUL",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-356-8573",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Aide in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Home Health Aide in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.