Active NPI
Jet2020 LLC
- Respite Care
- Sterling, VA
National Provider Identifier
1730831637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- Legal business name
- JET2020 LLC
- Doing business as
- PleuroVive
- Practice address
- 107 Park Hill LN
Sterling, VA 20164 - Phone
- (703) 229-7439
- NPI assigned
- Jan 21, 2022
- 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
- Bekka Rose Quimmer
- Title
- Managing Partner
- Phone
- (703) 229-7439
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | |||
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Health Maintenance Organization | 302R00000X | |||
| Private Vehicle | 347C00000X | |||
| Home Health Aide | 374U00000X | |||
| Respite Care | 385H00000X | Primary | ||
| Child Physical Disabilities Respite Care | 385HR2065X |
Addresses
Primary practice location
107 Park Hill LN
Sterling, VA 20164
Mailing address
107 Park Hill LN
Sterling, VA 20164
Other names 1
- PleuroVive
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642723200000",
"number": "1730831637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 PARK HILL LN",
"city": "STERLING",
"state": "VA",
"postal_code": "20164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 PARK HILL LN",
"city": "STERLING",
"state": "VA",
"postal_code": "20164",
"telephone_number": "703-229-7439"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JET2020 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-21",
"last_updated": "2022-01-21",
"certification_date": "2022-01-21",
"status": "A",
"authorized_official_last_name": "QUIMMER",
"authorized_official_first_name": "BEKKA",
"authorized_official_middle_name": "ROSE",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "703-229-7439"
},
"taxonomies": [
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PleuroVive",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sterling, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.