Organization Active NPI

Bluestar Home Health Care LLC

  • Home Health Agency
  • Falls Church, VA
National Provider Identifier
1962894717
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BLUESTAR HOME HEALTH CARE LLC
Practice address
5613 Leesburg Pike Ste 55
Falls Church, VA 22041-2912
Phone
(703) 829-0719
Fax
(703) 646-7558
NPI assigned
Mar 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Ismahan Ahmed, RN
Title
Administrator
Phone
(703) 829-0719

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Home Infusion Agency 251F00000X 171347 VA
Community Based Hospice Care Agency 251G00000X
Nursing Care Agency 251J00000X 171347 VA
In Home Supportive Care Agency 253Z00000X 171347 VA
Respite Care 385H00000X

Addresses

Primary practice location

5613 Leesburg Pike Ste 55
Falls Church, VA 22041-2912

Mailing address

5613 Leesburg Pike Ste 55
Falls Church, VA 22041-2912
Phone (703) 829-0719

Other practice location 1

5827 Columbia Pike Ste 509
Ste 509
Falls Church, VA 22041-2027
Phone (703) 829-5480

Other identifiers 2

IdentifierTypeStateIssuer
171347OtherVAVA DEPARTMENT OF HEALTH
1962894717MedicaidVA

National Provider Directory

National Provider Directory

Locations

5613 Leesburg Pike
Ste 55
Falls Church, VA 22041
Phone (703) 829-0719

5827 Columbia Pike
Ste 509
Falls Church, VA 22041
Phone (703) 829-5480

NPI Registry JSON

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1962894717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5613 LEESBURG PIKE STE 55",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412912",
            "telephone_number": "703-829-0719",
            "fax_number": "703-646-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5613 LEESBURG PIKE STE 55",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412912",
            "telephone_number": "703-829-0719",
            "fax_number": "703-646-7558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5827 Columbia Pike Ste 509",
            "address_2": "STE 509",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220412027",
            "country_code": "US",
            "telephone_number": "703-829-5480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLUESTAR HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "ISMAHAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-829-0719",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "VA",
            "license": "171347",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "VA",
            "license": "171347",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "171347",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA DEPARTMENT OF HEALTH",
            "identifier": "171347",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962894717",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.