SSK Healthcare, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SSK HEALTHCARE, LLC

Doing business as

Homewatch CareGivers of Manassas - Woodbridge

Practice address

4391 Ridgewood Center Dr Ste H
Woodbridge, VA 22192-5399

Phone

(571) 490-7222

NPI assigned

Feb 18, 2022

Organization subpart

No

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

Authorized official

Name

Samira S Khan

Title

President

Phone

(571) 490-7222

Specialties & licenses 2

Addresses

Other names 1

• Homewatch CareGivers of Manassas - Woodbridge Doing business as

Locations

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1972258838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4391 RIDGEWOOD CENTER DR STE H",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925399",
            "telephone_number": "571-490-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4391 RIDGEWOOD CENTER DR STE H",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925399",
            "telephone_number": "571-490-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSK HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SAMIRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-490-7222"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homewatch CareGivers of Manassas - Woodbridge",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Homewatch CareGivers of Manassas - Woodbridge",
            "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 May 12, 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.