Colonial Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COLONIAL HOME CARE, LLC

Practice address

10560 Main St
Suite#222
Fairfax, VA 22030

Phone

(703) 810-7500

Fax

(703) 496-5319

NPI assigned

Jul 27, 2015

Organization subpart

No

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

Authorized official

Name

Rostislav Kamenetsky

Title

President

Phone

(703) 810-7500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1740665124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10560 MAIN ST",
            "address_2": "SUITE#222",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22030",
            "telephone_number": "703-810-7500",
            "fax_number": "703-496-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10560 MAIN ST",
            "address_2": "SUITE#222",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22030",
            "telephone_number": "703-810-7500",
            "fax_number": "703-496-5319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "KAMENETSKY",
        "authorized_official_first_name": "ROSTISLAV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-810-7500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather A Collins, RNFA
• Lena Collins, MASSAGE THERAPIST
• Joyce Veneracion Colobong, NP
• Lindsey Colombo
• Janielle Colon
• Jaclyn N Colton, OTD, OTR
• Tayler Coltrane
• Denise Coltson, PHD
• Donald B Colvin, M.D.
• Belen Colwell

• Home Health Agency in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.