Edna Home Care Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EDNA HOME CARE SERVICES LLC

Practice address

4012 Williamsburg CT
Fairfax, VA 22032-1139

Phone

(571) 977-4336

NPI assigned

Aug 21, 2021

Organization subpart

No

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

Authorized official

Name

Muungano Mushi

Title

Administrator

Phone

(571) 594-1833

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1629504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1699441394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 WILLIAMSBURG CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220321139",
            "telephone_number": "571-977-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 WILLIAMSBURG CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220321139",
            "telephone_number": "571-977-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDNA HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-21",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "MUSHI",
        "authorized_official_first_name": "MUUNGANO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "571-594-1833"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maya Rachelle Edmond, PHARMD
• Brenda Lee Edmonds
• Courtney Edmonds
• Autumn Edmondson
• Isabel Edmonson
• Esosa Edosomwan
• Edward R Hindman Jr DDS PC
• David Andrew Edwards
• Ellen Edwards, M.S., CCC-SLP
• Gail Ann Edwards, R.N.C.,M.S.N.,A.N.P.

• Home Health Agency in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.