Proceda Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROCEDA HEALTH LLC

Practice address

44043 Ferncliff Ter
Ashburn, VA 20147-3329

Phone

(240) 343-3105

NPI assigned

Feb 23, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Kokoe Ezui, MPH, LPN

Title

Executive Director

Phone

(571) 598-4008

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519344000000",
    "number": "1780185884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2182",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201469082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44043 FERNCLIFF TER",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473329",
            "telephone_number": "240-343-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCEDA HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-02-23",
        "status": "A",
        "authorized_official_last_name": "EZUI",
        "authorized_official_first_name": "KOKOE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "571-598-4008",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPH, LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.