Active NPI
Middleburg Homecae
- Home Health Registered Nurse
- The Plains, VA
National Provider Identifier
1700468451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- Legal business name
- MIDDLEBURG HOMECAE
- Practice address
- 6487 Main St
The Plains, VA 20198 - Phone
- (540) 883-3122
- Fax
- (540) 277-2518
- NPI assigned
- Apr 22, 2021
- Last updated
- Apr 22, 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
- Michelle Lane, RN
- Title
- Administrator
- Phone
- (540) 316-7515
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Secured Medical Transport (VAN) | 343800000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Personal Care Attendant | 3747P1801X | |||
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X | |||
| Respite Care | 385H00000X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | |||
| Registered Nurse | 163W00000X | |||
| Home Health Registered Nurse | 163WH0200X | Primary | ||
| Infusion Therapy Registered Nurse | 163WI0500X | |||
| Licensed Practical Nurse | 164W00000X | |||
| Physical Therapist | 225100000X |
Addresses
Primary practice location
6487 Main St
The Plains, VA 20198
Mailing address
PO Box 544
Middleburg, VA 20118-0544
Phone (540) 883-3122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770014839 | Medicaid | VA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619049600000",
"number": "1700468451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 544",
"city": "MIDDLEBURG",
"state": "VA",
"postal_code": "201180544",
"telephone_number": "540-883-3122",
"fax_number": "540-277-2518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6487 MAIN ST",
"city": "THE PLAINS",
"state": "VA",
"postal_code": "20198",
"telephone_number": "540-883-3122",
"fax_number": "540-277-2518"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDDLEBURG HOMECAE",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-22",
"last_updated": "2021-04-22",
"certification_date": "2021-03-29",
"status": "A",
"authorized_official_last_name": "LANE",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "540-316-7515",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "343800000X",
"taxonomy_group": "",
"desc": "Secured Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "163WI0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infusion Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1770014839",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in The Plains, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.