Organization Active NPI

Subon Home Care Agency LLC

  • Personal Care Attendant
  • Chantilly, VA
National Provider Identifier
1730959248
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
SUBON HOME CARE AGENCY LLC
Practice address
14325 Willard Rd Unit D
Chantilly, VA 20151-2110
Phone
(571) 470-7541
Fax
(571) 444-6786
NPI assigned
Jan 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Susan Kaitesi
Title
Owner / Administrator
Phone
(859) 361-9000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X Primary
Respite Care 385H00000X

Addresses

Primary practice location

14325 Willard Rd Unit D
Chantilly, VA 20151-2110

Mailing address

5602 Truitt Farm CT
Centreville, VA 20120-5406
Phone (571) 470-7541

National Provider Directory

National Provider Directory

Locations

14325 Willard Rd
Unit D
Chantilly, VA 20151
Phone (571) 470-7541

9300 Peabody St
Ste 108
Manassas, VA 20110

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1730959248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5602 TRUITT FARM CT",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201205406",
            "telephone_number": "571-470-7541",
            "fax_number": "571-444-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14325 WILLARD RD UNIT D",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512110",
            "telephone_number": "571-470-7541",
            "fax_number": "571-444-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBON HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "KAITESI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER / ADMINISTRATOR",
        "authorized_official_telephone_number": "859-361-9000"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.