Active NPI
Accessstar Community Living Services Inc
- In Home Supportive Care Agency
- Manassas, VA
National Provider Identifier
1770133357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- ACCESSSTAR COMMUNITY LIVING SERVICES INC
- Practice address
- 8705 Stonewall Rd
Manassas, VA 20110-4534 - Phone
- (706) 659-9640
- Fax
- (703) 659-9616
- NPI assigned
- Sep 16, 2019
- Last updated
- May 17, 2023
- 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
- Mr. Kwasi Anwomea, NP
- Title
- Director
- Phone
- (703) 659-9640
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | ||
| Developmentally Disabled Services Day Training Agency | 251C00000X | NU | ||
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
8705 Stonewall Rd
Manassas, VA 20110-4534
Mailing address
8705 Stonewall Rd
Manassas, VA 20110-4534
Phone (706) 659-9640
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gerontology Nurse Practitioner
- Manassas, VA
- NPI 1164961538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684281600000",
"number": "1770133357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8705 STONEWALL RD",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201104534",
"telephone_number": "706-659-9640",
"fax_number": "703-659-9616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8705 STONEWALL RD",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201104534",
"telephone_number": "706-659-9640",
"fax_number": "703-659-9616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCESSSTAR COMMUNITY LIVING SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-16",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A",
"authorized_official_last_name": "ANWOMEA",
"authorized_official_first_name": "KWASI",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "703-659-9640",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.