Organization Active NPI

Secured Home Health Services LLC

  • Home Health Agency
  • Fairfax, VA
National Provider Identifier
1750613113
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCO10630 Issued in VA
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

Updated by the provider on Feb 9, 2010

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.