Organization Active NPI

Fobeter Home Healthcare LLC

  • Home Health Agency
  • Fairfax, VA
National Provider Identifier
1982398483
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FOBETER HOME HEALTHCARE LLC
Practice address
13311 Point Pleasant Dr
Fairfax, VA 22033-3514
Phone
(202) 407-0695
NPI assigned
Jun 7, 2023
Last updated
May 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Chantal Gwannulla
Title
Co-Owner
Phone
(202) 407-0695

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

13311 Point Pleasant Dr
Fairfax, VA 22033-3514

Mailing address

13311 Point Pleasant Dr
Fairfax, VA 22033-3514
Phone (202) 407-0695

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1982398483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13311 POINT PLEASANT DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220333514",
            "telephone_number": "202-407-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13311 POINT PLEASANT DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220333514",
            "telephone_number": "202-407-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOBETER HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-07",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "GWANNULLA",
        "authorized_official_first_name": "CHANTAL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "202-407-0695"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 May 1, 2024; 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.