Paramount Serenity Home Health Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PARAMOUNT SERENITY HOME HEALTH SERVICES, LLC

Practice address

2241H Tacketts Mill Dr
Woodbridge, VA 22192-3029

Phone

(703) 494-9019

Fax

(703) 494-9109

NPI assigned

Jan 3, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Bintha Fatmata Kabba-Sillah

Title

Administrator

Phone

(703) 401-7834

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1831662667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241H TACKETTS MILL DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221923029",
            "telephone_number": "703-494-9019",
            "fax_number": "703-494-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241H TACKETTS MILL DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221923029",
            "telephone_number": "703-494-9019",
            "fax_number": "703-494-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAMOUNT SERENITY HOME HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "KABBA-SILLAH",
        "authorized_official_first_name": "BINTHA",
        "authorized_official_middle_name": "FATMATA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-401-7834",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HCO-2036",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.