Active NPI
Jessica Guruprasad
- Home Health Agency
- Manassas, VA
National Provider Identifier
1841762853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HCO-2034
- 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, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HCO-2034 | Other | VA | DEPARTMENT 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
| License | State | Type | Specialty |
|---|---|---|---|
| HCO-2034 | VA | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Home Health Agency
- Silver Spring, MD
- NPI 1043818313
-
- Home Health Agency
- Manassas, VA
- NPI 1548733074
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.