NPIMap

Organization Active NPI

Achievement Rehabilitation Care

  • Home Health Agency
  • Fredericksburg, VA
National Provider Identifier
1710299755
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCO-326PC Issued in VA
Legal business name
ACHIEVEMENT REHABILITATION CARE
Practice address
607 Jefferson Davis Hwy
Suite 101
Fredericksburg, VA 22401-8406
Phone
(540) 479-8333
Fax
(540) 479-8336
NPI assigned
Jul 7, 2010
Organization subpart
Yes
Parent organization
ACHIEVEMENT REHABILITATION CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Authorized official

Name
Ms. Betty Sale Corey, REGISTERED NURSE
Title
Clinical Services Director
Phone
(703) 333-5288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCO-326PC VA Primary

Addresses

Primary practice location

607 Jefferson Davis Hwy
Suite 101
Fredericksburg, VA 22401-8406

Mailing address

607 Jefferson Davis Hwy
Suite 101
Fredericksburg, VA 22401-8406
Phone (540) 479-8333

Other names 1

  • Virginia Healthcare Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050811000383 VA Part A Provider - Home Health Agency 8729017553 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Annandale, VA

Home health agency certification: CCN 497605

Legal name
ACHIEVEMENT REHABILITATION CARE 4PT (ARC) P.C.
Doing business as
VIRGINIA HEALTHCARE SERVICES (VHS)
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 20, 2005
Last certification
Feb 5, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 31, 1998 in NY
Enrollment address
7010 Little River Tpke 400
Annandale, VA 22003-3241

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Virginia Healthcare ServicesCCN 497605
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Dec 20, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Part of
Achievement Rehabilitation Care

Locations

908 Trailview Blvd SE
Ste 300
Leesburg, VA 20175
Phone (703) 771-4697

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ahmed H Mostafa Individual 5% Or Greater Direct Ownership Interest Jan 1, 1998 100%
Corporate OfficerCeo/President Jan 1, 2006 10%
Hussein Ibrahim Individual Corporate OfficerVice President Nov 21, 2017 90%
Corporate DirectorCoo Jan 1, 2008
W-2 Managing EmployeeDiretor of Ops Feb 15, 2012

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 23

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1710299755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 JEFFERSON DAVIS HWY",
            "address_2": "SUITE 101",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018406",
            "telephone_number": "540-479-8333",
            "fax_number": "540-479-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 JEFFERSON DAVIS HWY",
            "address_2": "SUITE 101",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018406",
            "telephone_number": "540-479-8333",
            "fax_number": "540-479-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVEMENT REHABILITATION CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACHIEVEMENT REHABILITATION CARE",
        "enumeration_date": "2010-07-07",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "COREY",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "SALE",
        "authorized_official_title_or_position": "CLINICAL SERVICES DIRECTOR",
        "authorized_official_telephone_number": "703-333-5288",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-326PC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virginia Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.