Active NPI
Heritage Nursing and Healthcare
- Home Health Agency
- Fairfax, VA
National Provider Identifier
1720472285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.