Organization Active NPI

Surpassion Healthcare Services Inc

  • Home Health Agency
  • Fredericksburg, VA
National Provider Identifier
1811255359
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SURPASSION HEALTHCARE SERVICES INC
Practice address
4820 Southpoint Dr Ste 203
Fredericksburg, VA 22407-2614
Phone
(540) 412-5529
Fax
(540) 412-5563
NPI assigned
May 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Authorized official

Name
Mrs. Flora Ann Smith, CEO, ADMINISTRATOR
Title
Ei Service Coordinator
Phone
(540) 412-5529

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Continence Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC2100X
Case Management Agency 251B00000X HCO-14985 VA
Home Health Agency 251E00000X Primary
Home Infusion Agency 251F00000X HCO-14985 VA
Nursing Care Agency 251J00000X HCO-14985 VA
Early Intervention Provider Agency 252Y00000X VA
In Home Supportive Care Agency 253Z00000X
Durable Medical Equipment & Medical Supplies 332B00000X HCO-14985 VA
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X
Respite Care 385H00000X

Addresses

Primary practice location

4820 Southpoint Dr Ste 203
Fredericksburg, VA 22407-2614

Mailing address

5006 Strauss CT
Fredericksburg, VA 22407-7776
Phone (540) 479-2552

Other identifiers 2

IdentifierTypeStateIssuer
1811255359MedicaidVA
0172382647MedicaidVA

Other names 1

  • SURPASSION HEALTHCARE SERVICES INC Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2115986Surpassion Healthcare Services, Inc4820 Southpoint Drive - Suite 203, Fredericksburg, VA 22407Certificate of waiverJul 17, 2028

National Provider Directory

National Provider Directory

Locations

4820 Southpoint Dr
Ste 203
Fredericksburg, VA 22407
Phone (540) 412-5529

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1811255359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 STRAUSS CT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224077776",
            "telephone_number": "540-479-2552",
            "fax_number": "540-412-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 SOUTHPOINT DR STE 203",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224072614",
            "telephone_number": "540-412-5529",
            "fax_number": "540-412-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURPASSION HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "FLORA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EI SERVICE COORDINATOR",
        "authorized_official_telephone_number": "540-412-5529",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CEO, ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "163WC2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Continence Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "VA",
            "license": "HCO-14985",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "VA",
            "license": "HCO-14985",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "VA",
            "license": "HCO-14985",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "HCO-14985",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811255359",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0172382647",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SURPASSION HEALTHCARE SERVICES INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.