Roger Leyou

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

HCO-0005140 Issued in VA

Practice address

3022 Javier Rd Ste 152
Fairfax, VA 22031-4624

Phone

(202) 258-3344

Fax

(571) 475-9528

NPI assigned

Oct 16, 2023

Last updated

Oct 16, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Accredited Healthcare Services LLC

  • In Home Supportive Care Agency
  • Fairfax, VA
  • NPI 1942849989
  NPD Authorized official
• Universal Support Agency LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, DC
  • NPI 1588353767
  NPD Authorized official
• Goodwill Homes LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Fairfax, VA
  • NPI 1154001139
  Authorized official Same address or phone
• Goodwill Homes LLC

  • Adult Care Home Facility
  • Fairfax, VA
  • NPI 1508544941
  Authorized official Same address or phone

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1740062785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 JAVIER RD STE 152",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314624",
            "telephone_number": "202-258-3344",
            "fax_number": "571-475-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 JAVIER RD STE 152",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314624",
            "telephone_number": "202-258-3344",
            "fax_number": "571-475-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYOU",
        "first_name": "ROGER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "VA",
            "license": "HCO-0005140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn O Lewis, MS, LPC
• Kerry Randall Lewis, M.D.
• Krystal T Lewis, S.S.P.
• Sharon Lewis
• Trevor Kyle Lewis, M.D.
• LGW Wellness
• Hanyun Li
• Siquan Spring Li
• Tin Wai Li, D.D.S.
• Kai-Li Liang, MD

• Personal Care Attendant in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Personal Care Attendant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.