NPIMap

Organization Active NPI

Brew Home Care Agency

  • Home Health Agency
  • Woodbridge, VA
National Provider Identifier
1770714933
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BREW HOME CARE AGENCY
Practice address
4207 Dale Blvd
Woodbridge, VA 22193-2243
Phone
(703) 763-0563
Fax
(703) 291-1754
NPI assigned
Aug 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Authorized official

Name
Mrs. Ellen D Davis, RN,MSN
Title
Administrator
Phone
(703) 763-0563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4207 Dale Blvd
Woodbridge, VA 22193-2243

Mailing address

4207 Dale Blvd
Woodbridge, VA 22193-2243
Phone (703) 763-0563

National Provider Directory

National Provider Directory
Tax ID family
Brew Home Care Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4207 Dale Blvd
Woodbridge, VA 22193
Phone (703) 763-0563

NPI Registry JSON

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1770714933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 DALE BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221932243",
            "telephone_number": "703-763-0563",
            "fax_number": "703-291-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 DALE BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221932243",
            "telephone_number": "703-763-0563",
            "fax_number": "703-291-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREW HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-763-0563",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN,MSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.