Forecastle Professional and Home Health Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FORECASTLE PROFESSIONAL AND HOME HEALTH SERVICES, LLC

Doing business as

FORECASTLE HOME AND HEALTHCARE SERVICES

Practice address

117 W Boscawen St
Suite 2
Winchester, VA 22601-4140

Phone

(703) 649-4494

Fax

(540) 486-4702

NPI assigned

Dec 12, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Roddy Robert Annan

Title

Director

Phone

(703) 537-9776

Specialties & licenses 4

Addresses

Other names 1

• FORECASTLE HOME AND HEALTHCARE SERVICES Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1449878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1922473263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PROVIDENCE DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226026168",
            "telephone_number": "703-649-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W BOSCAWEN ST",
            "address_2": "SUITE 2",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226014140",
            "telephone_number": "703-649-4494",
            "fax_number": "540-486-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORECASTLE PROFESSIONAL AND HOME HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-12",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "ANNAN",
        "authorized_official_first_name": "RODDY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-537-9776",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "service@forecastlehomehealth.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "117 W Boscawen St",
            "address_2": "Suite 2",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226014140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "FORECASTLE HOME AND HEALTHCARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.