Haven in Home Support

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HAVEN IN HOME SUPPORT

Practice address

21335 Signal Hill PLZ Ste 250
Sterling, VA 20164-5567

Phone

(703) 444-2244

NPI assigned

May 11, 2024

Last updated

May 11, 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

Medina Ibrahim

Title

Administrator

Phone

(703) 444-2244

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1715385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715385600000",
    "number": "1861240061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21335 SIGNAL HILL PLZ STE 250",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201645567",
            "telephone_number": "703-444-2244",
            "fax_number": "703-982-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21335 SIGNAL HILL PLZ STE 250",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201645567",
            "telephone_number": "703-444-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN IN HOME SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-11",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "MEDINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-444-2244"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harris Teeter LLC (Harris Teeter Pharmacy #326)
• Michele R Harrison, P.T.
• Ahmed Hassan, RPH
• Elizabeth Anne Hauck, PHD CLINICAL PSYCHOL
• Haven Home Health Care
• Hawley Consulting, LLC
• John L Hawley Jr., PH.D.
• Brianne Haynes
• Healing Journey Therapy Services, LLC
• Heavenly Sent Home Care Services LLC

• In Home Supportive Care Agency in Sterling, VA
• Providers in Sterling, 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 May 11, 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.