Advanced Home Care Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ADVANCED HOME CARE SERVICES LLC

Practice address

4222 Fortuna Center PLZ # 211
Dumfries, VA 22025-1515

Phone

(703) 962-7797

NPI assigned

Jan 29, 2021

Last updated

Feb 1, 2021By 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

Selina Bonney, RN

Title

Administrator

Phone

(703) 962-7797

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1861083131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 FORTUNA CENTER PLZ # 211",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220251515",
            "telephone_number": "703-962-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 FORTUNA CENTER PLZ # 211",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220251515",
            "telephone_number": "703-962-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "BONNEY",
        "authorized_official_first_name": "SELINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-962-7797",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VDH HCO LICENSE",
            "identifier": "HCO-212475",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Dumfries, VA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.