Organization Active NPI

Heritage Nursing and Healthcare

  • Home Health Agency
  • Fairfax, VA
National Provider Identifier
1720472285
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HERITAGE NURSING AND HEALTHCARE
Practice address
3997 Fair Ridge Dr
Suite #135
Fairfax, VA 22033-2906
Phone
(571) 235-2010
NPI assigned
Mar 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Authorized official

Name
Mr. Joseph Fomenky
Title
President & Ceo
Phone
(571) 235-2010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3997 Fair Ridge Dr
Suite #135
Fairfax, VA 22033-2906

Mailing address

3997 Fair Ridge Dr
Suite #135
Fairfax, VA 22033-2906
Phone (571) 235-2010

National Provider Directory

National Provider Directory

Locations

3997 Fair Ridge Dr
Ste 135
Fairfax, VA 22033
Phone (571) 235-2010

NPI Registry JSON

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1720472285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3997 FAIR RIDGE DR",
            "address_2": "SUITE #135",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332906",
            "telephone_number": "571-235-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3997 FAIR RIDGE DR",
            "address_2": "SUITE #135",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332906",
            "telephone_number": "571-235-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE NURSING AND HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "FOMENKY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "571-235-2010",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

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