Individual provider Active NPI

Jessica Guruprasad

  • Home Health Agency
  • Manassas, VA
National Provider Identifier
1841762853
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCO-2034 Issued in VA
Practice address
9720 Capital CT Ste 104
Manassas, VA 20110-2049
Phone
(571) 359-6753
Fax
(571) 359-6637
NPI assigned
Jan 2, 2019
Last updated
Jan 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCO-2034 VA Primary

Addresses

Primary practice location

9720 Capital CT Ste 104
Manassas, VA 20110-2049

Mailing address

9720 Capital CT Ste 104
Manassas, VA 20110-2049
Phone (571) 359-6753

Other identifiers 1

IdentifierTypeStateIssuer
HCO-2034OtherVADEPARTMENT OF THE TREASURY OF RICHMOND VA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HCO-2034VAMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Federal Caregivers Home Care LLC Home Health Current Accepting new patients

Locations

9720 Capital Ct
Ste 104
Manassas, VA 20110
Phone (571) 359-6753

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1841762853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9720 CAPITAL CT STE 104",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201102049",
            "telephone_number": "571-359-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9720 CAPITAL CT STE 104",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201102049",
            "telephone_number": "571-359-6753",
            "fax_number": "571-359-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURUPRASAD",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-2034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF THE TREASURY OF RICHMOND VA",
            "identifier": "HCO-2034",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.