1 Corinthians Home Care Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HCO161325 Issued in VA

Legal business name

1 CORINTHIANS HOME CARE SERVICES LLC

Practice address

116R Edwards Ferry Rd NE
Leesburg, VA 20176-2301

Phone

(703) 801-1784

Fax

(888) 861-1299

NPI assigned

Nov 5, 2015

Last updated

Nov 5, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Theresa Carbajal

Title

Administrator

Phone

(703) 801-1784

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1992178370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116R EDWARDS FERRY RD NE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762301",
            "telephone_number": "703-801-1784",
            "fax_number": "888-861-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116R EDWARDS FERRY RD NE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762301",
            "telephone_number": "703-801-1784",
            "fax_number": "888-861-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1 CORINTHIANS HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "CARBAJAL",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-801-1784",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "HCO161325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.