Awesome Minds

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

AWESOME MINDS

Doing business as

ABA services

Practice address

1307 Benicia LN
Herndon, VA 20170-3668

Phone

(703) 310-8068

Fax

(703) 740-2397

NPI assigned

Jan 24, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Sakin Ali Mire

Title

Ceo/Owner

Phone

(703) 310-8068

Specialties & licenses 1

Addresses

Other names 1

• ABA services Doing business as

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1841942554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 BENICIA LN",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201703668",
            "telephone_number": "703-310-8068",
            "fax_number": "703-740-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 BENICIA LN",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201703668",
            "telephone_number": "703-310-8068",
            "fax_number": "703-740-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWESOME MINDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "MIRE",
        "authorized_official_first_name": "SAKIN",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "703-310-8068",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABA services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Herndon, VA
• Providers in Herndon, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.