Ninas Health Care Fairfax Incorporated

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

NINAS HEALTH CARE FAIRFAX INCORPORATED

Practice address

3022 Javier Rd Ste 105E
Fairfax, VA 22031-4646

Phone

(614) 314-5416

NPI assigned

Aug 5, 2019

Last updated

Nov 4, 2025By 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

Grace Fongod

Title

President

Phone

(614) 314-5416

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891340055. Details of each certification follow.

• CCN 497810 Home health agency · Active · Details

Home health agency certification: CCN 497810

Legal name

NINAS HEALTH CARE FAIRFAX INCORPORATED

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 26, 2024

Last certification

Mar 13, 2024

Organization structure

CorporationProprietary

Incorporated

Aug 5, 2019 in OH

Enrollment address

3022 Janvier Rd Ste 105E
Fairfax, VA 22031

Listed as

Nina's Health Care Fairfax IncCCN 497810 · All quality measures

Ownership

-

Certified

Mar 26, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Naiga Dohnji

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Clara, CA
  • NPI 1912337205

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1891340055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 JAVIER RD STE 105E",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314646",
            "telephone_number": "614-314-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 JAVIER RD STE 105E",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314646",
            "telephone_number": "614-314-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINAS HEALTH CARE FAIRFAX INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-05",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "FONGOD",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-314-5416"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nahid Nikfar
• Irina M Nikitina, APRN-BC, ANP
• Katherine Niknia, MSN, NP
• Erica Nikolaidis, PT, DPT
• Siddharth Philip Ninan, MD
• Ivaylo Georgiev Ninov, RN
• Nirmal Enterprises (Hope Home Care Services)
• Camila Nishida
• Susan Elizabeth Nixon
• Fefe Njeck

• Psychiatric/Mental Health Nurse Practitioner in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.