Organization Active NPI

Nice Home Care, LLC

  • Home Health Agency
  • Fairfax, VA
National Provider Identifier
1922544774
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
S6552840
Legal business name
NICE HOME CARE, LLC
Practice address
3601 Pickett Rd
Suite 2773
Fairfax, VA 22031-8100
Phone
(703) 901-7561
NPI assigned
Jan 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Mr. Maksim G Baraev
Title
Ceo/Administrator
Phone
(703) 901-7561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X S6552840 Primary

Addresses

Primary practice location

3601 Pickett Rd
Suite 2773
Fairfax, VA 22031-8100

Mailing address

3601 Pickett Rd
Suite 2773
Fairfax, VA 22031-8100
Phone (703) 901-7561

National Provider Directory

National Provider Directory

Locations

3601 Pickett Rd
Unit 2773
Fairfax, VA 22031
Phone (703) 901-7561

NPI Registry JSON

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1922544774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 PICKETT RD",
            "address_2": "SUITE 2773",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220318100",
            "telephone_number": "703-901-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 PICKETT RD",
            "address_2": "SUITE 2773",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220318100",
            "telephone_number": "703-901-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "BARAEV",
        "authorized_official_first_name": "MAKSIM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "703-901-7561",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": "S6552840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.