Organization Active NPI

Steadfast Home Care Services, LLC

  • In Home Supportive Care Agency
  • MC Lean, VA
National Provider Identifier
1770190639
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
STEADFAST HOME CARE SERVICES, LLC
Practice address
7918 Jones Branch Dr Ste 400
MC Lean, VA 22102-3319
Phone
(301) 437-3550
NPI assigned
Sep 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Mosun OlusanyaNPI 1346830940
Title
Administrator
Phone
(703) 946-1664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

7918 Jones Branch Dr Ste 400
MC Lean, VA 22102-3319

Mailing address

7918 Jones Branch Dr Ste 400
MC Lean, VA 22102-3319
Phone (703) 946-1664

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1770190639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7918 JONES BRANCH DR STE 400",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023319",
            "telephone_number": "703-946-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7918 JONES BRANCH DR STE 400",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023319",
            "telephone_number": "301-437-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEADFAST HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "OLUSANYA",
        "authorized_official_first_name": "MOSUN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-946-1664"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.