Amethyst in-Home and Support Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

AMETHYST IN-HOME AND SUPPORT SERVICES LLC

Practice address

231 Garrisonville Rd Ste 205
Stafford, VA 22554-1603

Phone

(571) 250-9516

NPI assigned

Jan 19, 2024

Last updated

Jan 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darellyn Urenia Quansah

Title

Owner

Phone

(571) 250-9516

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1851152516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 GARRISONVILLE RD STE 205",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541603",
            "telephone_number": "571-250-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 GARRISONVILLE RD STE 205",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541603",
            "telephone_number": "571-250-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMETHYST IN-HOME AND SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "QUANSAH",
        "authorized_official_first_name": "DARELLYN",
        "authorized_official_middle_name": "URENIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-250-9516"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.