Blackstone Mary Ivy Healthcare LLC
Organization Active NPI Home Health Agency · Lorton, VA
NPI 1982469540 · NPPES record last updated Feb 13, 2024
Key facts
- NPI
- 1982469540
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- BLACKSTONE MARY IVY HEALTHCARE LLC
- Practice address
- 8951 Birch Bay Cir
Lorton, VA 22079-5660 - Phone
- (571) 234-3699
- NPI assigned
- Feb 13, 2024
- Organization subpart
- No
Authorized official
- Name
- Ato K Smith-Mensah
- Title
- Administrator
- Phone
- (571) 234-3699
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
8951 Birch Bay Cir
Lorton, VA 22079-5660
Mailing address
8951 Birch Bay Cir
Lorton, VA 22079-5660
Phone (571) 234-3699
Other providers in Lorton, VA
- Best Hope Community Residential Services
- Karen V Beydoun
- Kristina Biggs
- Biggs&Tingling
- Bio-Medical Applications of Virginia, Inc.
- Blossom Fatima Home Healthcare Services
- Bode Cellmark Forensics, Inc.
- Caitlin M Bohnert
- Iesha Boulware
- Daniel Patrick Braun
All providers in Lorton, VA · Home Health Agency in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.