Active NPI
Secured Home Health Services LLC
- Home Health Agency
- Fairfax, VA
National Provider Identifier
1750613113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HCO10630
- Legal business name
- SECURED HOME HEALTH SERVICES LLC
- Practice address
- 9401 Mathy Dr
Suite 300
Fairfax, VA 22031-5310 - Phone
- (703) 268-5910
- Fax
- (703) 539-8350
- NPI assigned
- Feb 9, 2010
- 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
- Ms. Gladys Ajubese Njem, REGISTERED NURSE
- Title
- Administrator / Director of Nursing
- Phone
- (703) 928-4226
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HCO10630 | VA | Primary |
Addresses
Primary practice location
9401 Mathy Dr
Suite 300
Fairfax, VA 22031-5310
Mailing address
9401 Mathy Dr
Suite 300
Fairfax, VA 22031-5310
Phone (703) 268-5910
National Provider Directory
National Provider DirectoryLocations
9401 Mathy Dr
Ste 300
Fairfax, VA 22031
Phone (703) 268-5910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265673600000",
"number": "1750613113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9401 MATHY DR",
"address_2": "SUITE 300",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220315310",
"telephone_number": "703-268-5910",
"fax_number": "703-539-8350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9401 MATHY DR",
"address_2": "SUITE 300",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220315310",
"telephone_number": "703-268-5910",
"fax_number": "703-539-8350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SECURED HOME HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-09",
"last_updated": "2010-02-09",
"status": "A",
"authorized_official_last_name": "NJEM",
"authorized_official_first_name": "GLADYS",
"authorized_official_middle_name": "AJUBESE",
"authorized_official_title_or_position": "ADMINISTRATOR / DIRECTOR OF NURSING",
"authorized_official_telephone_number": "703-928-4226",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "VA",
"license": "HCO10630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.