Active NPI
Assured Health Home Care, Inc
- Home Health Agency
- Woodbridge, VA
National Provider Identifier
1982084869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HCO151291
- Legal business name
- ASSURED HEALTH HOME CARE, INC
- Practice address
- 13198 Centerpointe Way Ste 101
Woodbridge, VA 22193-5285 - Phone
- (703) 221-4854
- Fax
- (703) 221-4902
- NPI assigned
- Jun 4, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Adjoa Tweneboa Agyei
- Title
- Administrator
- Phone
- (703) 864-7511
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HCO151291 | VA | Primary |
| Home Health Agency | 251E00000X |
Addresses
Primary practice location
13198 Centerpointe Way Ste 101
Woodbridge, VA 22193-5285
Mailing address
13198 Centerpointe Way Ste 101
Woodbridge, VA 22193-5285
Phone (703) 221-4854
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982084869 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | WOODBRIDGE | Health Information Exchange (HIE) |
National Provider Directory
National Provider Directory- Tax ID family
- Assured Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Woodbridge, VA
- NPI 1396380531
Locations
17300 River Ridge Blvd
Ste 202
Woodbridge, VA 22191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589932800000",
"number": "1982084869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13198 CENTERPOINTE WAY STE 101",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221935285",
"telephone_number": "703-221-4854",
"fax_number": "703-221-4902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13198 CENTERPOINTE WAY STE 101",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221935285",
"telephone_number": "703-221-4854",
"fax_number": "703-221-4902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSURED HEALTH HOME CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-04",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A",
"authorized_official_last_name": "AGYEI",
"authorized_official_first_name": "ADJOA",
"authorized_official_middle_name": "TWENEBOA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "703-864-7511",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "VA",
"license": "HCO151291",
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1982084869",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "WOODBRIDGE",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "WOODBRIDGE",
"address_1": "13198 Centerpointe Way Ste 101",
"city": "Woodbridge",
"state": "VA",
"country_code": "US",
"postal_code": "221935285",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.