Organization Active NPI

Harbor Home Healthcare, LLC

  • Home Health Agency
  • Falls Church, VA
National Provider Identifier
1710368808
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCO151293 Issued in VA
Legal business name
HARBOR HOME HEALTHCARE, LLC
Practice address
2890 Emma Lee St
Suite 210
Falls Church, VA 22042-7805
Phone
(703) 734-6683
Fax
(703) 879-7594
NPI assigned
Jun 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Authorized official

Name
Mr. Abdinasir Mohamud, CPA
Title
Financial Manager
Phone
(703) 599-4395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCO151293 VA Primary

Addresses

Primary practice location

2890 Emma Lee St
Suite 210
Falls Church, VA 22042-7805

Mailing address

2890 Emma Lee St
Suite 210
Falls Church, VA 22042-7805
Phone (703) 734-6683

National Provider Directory

National Provider Directory

Locations

2890 Emma Lee St
Ste 210
Falls Church, VA 22042
Phone (703) 734-6683

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1710368808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2890 EMMA LEE ST",
            "address_2": "SUITE 210",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220427805",
            "telephone_number": "703-734-6683",
            "fax_number": "703-879-7594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 EMMA LEE ST",
            "address_2": "SUITE 210",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220427805",
            "telephone_number": "703-734-6683",
            "fax_number": "703-879-7594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "MOHAMUD",
        "authorized_official_first_name": "ABDINASIR",
        "authorized_official_title_or_position": "FINANCIAL MANAGER",
        "authorized_official_telephone_number": "703-599-4395",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO151293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.