NPIMap

Organization Active NPI

Home Health Connection, Inc.

  • Home Health Agency
  • Reston, VA
National Provider Identifier
1760560718
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCO-14112 Issued in VA
Legal business name
HOME HEALTH CONNECTION, INC.
Practice address
12007 Sunrise Valley Dr
Suite 170
Reston, VA 20191-3479
Phone
(703) 684-3799
Fax
(703) 860-2519
NPI assigned
Nov 1, 2006
Last updated
May 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Authorized official

Name
Mrs. Shahin Mafi
Title
President/Ceo
Phone
(301) 718-8170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCO-14112 VA Primary

Addresses

Primary practice location

12007 Sunrise Valley Dr
Suite 170
Reston, VA 20191-3479

Mailing address

12007 Sunrise Valley Dr
Suite 170
Reston, VA 20191-3479
Phone (703) 684-3799

Other identifiers 1

IdentifierTypeStateIssuer
010088461MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200729003165 VA Part A Provider - Home Health Agency 7810996030 Practice locations: Reston, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760560718. Details of each certification follow.

Home health agency certification: CCN 497781

Legal name
HOME HEALTH CONNECTION, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 29, 2021
Last certification
Nov 29, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 20, 1992 in MD
Enrollment address
12007 Sunrise Valley Dr
Ste 170
Reston, VA 20191-3446

Care Compare: Home health agency

Medicare Care Compare
Listed as
Home Health Connection, IncCCN 497781 · All quality measures
Ownership
Proprietary
Certified
Nov 29, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy

National Provider Directory

National Provider Directory
Tax ID family
Home Health Connection Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Shahryar Mafi Individual Corporate DirectorBoard Member May 15, 2019
Shahin Mafi Individual 5% Or Greater Direct Ownership InterestCeo Dec 12, 1997 100%
Corporate Officer Dec 12, 1997 100%
Rosie L Simmons Individual W-2 Managing EmployeeClinical Manager/Director Ofnursing Jun 10, 1997

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1760560718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12007 SUNRISE VALLEY DR",
            "address_2": "SUITE 170",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913479",
            "telephone_number": "703-684-3799",
            "fax_number": "703-860-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12007 SUNRISE VALLEY DR",
            "address_2": "SUITE 170",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913479",
            "telephone_number": "703-684-3799",
            "fax_number": "703-860-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH CONNECTION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "MAFI",
        "authorized_official_first_name": "SHAHIN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "301-718-8170",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-14112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010088461",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.