Bethesdacare-Houseofmercy,LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HCO161329 Issued in VA

Legal business name

BETHESDACARE-HOUSEOFMERCY,LLC

Practice address

11 Joshua Rd
Stafford, VA 22556-3608

Phone

(540) 318-0484

Fax

(703) 337-0331

NPI assigned

Aug 24, 2015

Last updated

Aug 24, 2015By 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

Mrs. Nabunyi Honorine Mwamizinzi, BS

Title

Administrator

Phone

(703) 867-2141

Specialties & licenses 1

Addresses

Other names 1

• In Home Care Agency Other name

Locations

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1902273188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225550022",
            "telephone_number": "540-318-0484",
            "fax_number": "703-337-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 JOSHUA RD",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225563608",
            "telephone_number": "540-318-0484",
            "fax_number": "703-337-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDACARE-HOUSEOFMERCY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "MWAMIZINZI",
        "authorized_official_first_name": "NABUNYI",
        "authorized_official_middle_name": "HONORINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-867-2141",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO161329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "In Home Care Agency",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Home Health Agency in Stafford, VA
• Providers in Stafford, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.