First Healthcare Rehabilitation, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

HCO151277 Issued in VA

Legal business name

FIRST HEALTHCARE REHABILITATION, LLC

Practice address

20130 Lakeview Center PLZ
Ashburn, VA 20147-5904

Phone

(703) 840-5467

Fax

(301) 808-0360

NPI assigned

May 18, 2015

Organization subpart

Yes

Parent organization

FIRST HEALTHCARE NETWORK LLCAs reported in NPPES

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

Authorized official

Name

Clarisse BethelNPI 1720350770

Title

Ceo/President

Phone

(240) 643-5523

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• FIRST HEALTHCARE REHABILITATION, LLC Doing business as

Tax ID family

First Healthcare Network LLC2 organizations share this tax ID, including this one

Part of

First Healthcare Network LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• First Healthcare Network LLC

  • Home Health Agency
  • Sterling, VA
  • NPI 1922371418
  NPD tax ID

Locations

Practitioners 1

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

• Clarisse Bethel, RN, BSN

  • Registered Nurse
  • Bowie, MD
  • NPI 1720350770
  NPD Authorized official

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1740668169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22570 MARKEY CT STE 220",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666915",
            "telephone_number": "703-444-6215",
            "fax_number": "703-444-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20130 LAKEVIEW CENTER PLZ",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475904",
            "telephone_number": "703-840-5467",
            "fax_number": "301-808-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST HEALTHCARE REHABILITATION, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST HEALTHCARE NETWORK LLC",
        "enumeration_date": "2015-05-18",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "BETHEL",
        "authorized_official_first_name": "CLARISSE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "240-643-5523"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "HCO151277",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740668169",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922371418",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRST HEALTHCARE REHABILITATION, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• First Support Home Care LLC
• Brandon Joseph Fitzpatrick
• Christine Fleming
• John Francis Fletcher Jr., L.P.C.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.