Active NPI
Surpassion Healthcare Services Inc
- Home Health Agency
- Fredericksburg, VA
National Provider Identifier
1811255359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Continence Care Registered Nurse | 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 Attendant | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811255359 | Medicaid | VA | |
| 0172382647 | Medicaid | VA |
Other names 1
- SURPASSION HEALTHCARE SERVICES INC
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2115986 | Surpassion Healthcare Services, Inc | Certificate of waiver | Jul 17, 2028 |
National Provider Directory
National Provider DirectoryLocations
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
- Surgical Associates of Fredericksburg LLC
- Surgical Associates of Fredericksburg, a Division of Maha, Inc.
- Surgical Associates of Fredericksburg, LTD.
- Surgical Physicians of Fredericksburg, PLLC
- Mitchell Surkamp, OD
- Bhavin S Suthar, MD
- Makayla Swain
- Joshua L Swanson, DMD
- Julie L Swart, RDCS, RVT
- John Patrick Swing III, M.D.
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.