Organization Active NPI

Arise-N-Shine Healthcare, LLC

  • Nursing Care Agency
  • Fairfax, VA
National Provider Identifier
1871904078
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
ARISE-N-SHINE HEALTHCARE, LLC
Practice address
3022 Javier Rd
Suite 105H
Fairfax, VA 22031-4645
Phone
(703) 854-1067
Fax
(703) 854-1071
NPI assigned
May 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Authorized official

Name
Ms. Desiree Johnson, LPN
Title
Owner
Phone
(703) 854-1067

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

3022 Javier Rd
Suite 105H
Fairfax, VA 22031-4645

Mailing address

3022 Javier Rd
Suite 105
Fairfax, VA 22031-4645
Phone (703) 854-1067

National Provider Directory

National Provider Directory

Locations

3022 Javier Rd
Ste 105
Fairfax, VA 22031

3022 Javier Rd
Ste 105H
Fairfax, VA 22031
Phone (703) 854-1067

NPI Registry JSON

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1871904078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 JAVIER RD",
            "address_2": "SUITE 105",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314645",
            "telephone_number": "703-854-1067",
            "fax_number": "703-854-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 JAVIER RD",
            "address_2": "SUITE 105H",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314645",
            "telephone_number": "703-854-1067",
            "fax_number": "703-854-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARISE-N-SHINE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-854-1067",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.