NPIMap

Organization Active NPI

Countrycare Home Health LLC

  • Respite Care
  • Falls Church, VA
National Provider Identifier
1982251344
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
COUNTRYCARE HOME HEALTH LLC
Practice address
6269 Leesburg Pike Ste 105
Falls Church, VA 22044-2103
Phone
(703) 621-3187
Fax
(703) 842-1194
NPI assigned
Aug 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Authorized official

Name
Paul Jajan
Title
Administrator
Phone
(703) 621-3187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

6269 Leesburg Pike Ste 105
Falls Church, VA 22044-2103

Mailing address

6269 Leesburg Pike Ste 105
Falls Church, VA 22044-2103
Phone (703) 621-3187

Other names 1

  • CountryCare Home Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Countrycare Home Health6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1982251344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6269 LEESBURG PIKE STE 105",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442103",
            "telephone_number": "703-621-3187",
            "fax_number": "703-842-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6269 LEESBURG PIKE STE 105",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442103",
            "telephone_number": "703-621-3187",
            "fax_number": "703-842-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRYCARE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "JAJAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-621-3187"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CountryCare Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 21, 2019; 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.