Active NPI
Lavender Cares Agency
- Home Health Agency
- Arlington, VA
National Provider Identifier
1881105377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1743
- Legal business name
- LAVENDER CARES AGENCY
- Practice address
- 901 S Highland St Ste 325
Arlington, VA 22204-2459 - Phone
- (571) 213-3164
- NPI assigned
- Oct 24, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Alylah Peters
- Title
- Office Manager
- Phone
- (571) 213-3164
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1743 | VA | Primary |
| In Home Supportive Care Agency | 253Z00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
901 S Highland St Ste 325
Arlington, VA 22204-2459
Mailing address
901 S Highland St Ste 333
Arlington, VA 22204-2459
Phone (571) 213-3164
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881105377 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lavender@lavendercaresagency.com |
National Provider Directory
National Provider DirectoryLocations
901 S Highland St
Ste 333
Arlington, VA 22204
Phone (571) 243-5709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698019200000",
"number": "1881105377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 S HIGHLAND ST STE 333",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222042459",
"telephone_number": "571-213-3164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 S HIGHLAND ST STE 325",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222042459",
"telephone_number": "571-213-3164"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAVENDER CARES AGENCY",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-24",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A",
"authorized_official_last_name": "PETERS",
"authorized_official_first_name": "ALYLAH",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "571-213-3164",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "VA",
"license": "1743",
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1881105377",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lavender@lavendercaresagency.com",
"affiliation": "N",
"address_1": "901 S Highland St Ste 325",
"city": "Arlington",
"state": "VA",
"country_code": "US",
"postal_code": "222042459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.