Organization Active NPI

Epic Home Health Services LLC

  • Home Health Agency
  • Reston, VA
National Provider Identifier
1912580440
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EPIC HOME HEALTH SERVICES LLC
Practice address
1875 Campus Commons Dr Ste 210
Reston, VA 20191-1567
Phone
(240) 426-6988
NPI assigned
May 3, 2021
Last updated
Nov 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Munde Mbayo
Title
Administrator
Phone
(571) 249-5819

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Personal Care Attendant 3747P1801X
Respite Care 385H00000X

Addresses

Primary practice location

1875 Campus Commons Dr Ste 210
Reston, VA 20191-1567

Mailing address

3201 Orient Fishtail Rd
Laurel, MD 20724-2931
Phone (240) 426-6988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221109000700 VA Part A Provider - Home Health Agency 2163899808 Practice locations: Reston, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912580440. Details of each certification follow.

Home health agency certification: CCN 497806

Legal name
EPIC HOME HEALTH SERVICES LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 13, 2023
Last certification
Oct 18, 2023
Organization structure
LLCProprietary
Incorporated
Mar 2, 2021 in VA
Enrollment address
1875 Campus Commons Dr
Ste 210
Reston, VA 20191-1567

Care Compare: Home health agency

Medicare Care Compare
Listed as
Epic Home Health Services LLCCCN 497806 · All quality measures
Overall star rating
1.5 of 5
Ownership
-
Certified
Nov 13, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Munde Mbayo Individual 5% Or Greater Direct Ownership InterestAdministrator Mar 2, 2021 50%
W-2 Managing Employee Apr 5, 2022
Operational/Managerial Control Apr 5, 2022 50%
Ulrica Mbayo Individual 5% Or Greater Direct Ownership InterestDirector Nursing Mar 2, 2021 50%
W-2 Managing Employee Apr 5, 2022 50%

Practitioners & affiliated clinicians

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.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1912580440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 ORIENT FISHTAIL RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242931",
            "telephone_number": "240-426-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 CAMPUS COMMONS DR STE 210",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911567",
            "telephone_number": "240-426-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "MBAYO",
        "authorized_official_first_name": "MUNDE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "571-249-5819"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.