Organization Active NPI

Aaa Home Care LLC

  • Home Health Agency
  • Alexandria, VA
National Provider Identifier
1992273635
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AAA HOME CARE LLC
Practice address
4609 Pinecrest Office Park Dr Ste D
Alexandria, VA 22312-1442
Phone
(038) 273-7577
Fax
(703) 226-3328
NPI assigned
Nov 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Authorized official

Name
Mr. Brima B Deen, CMBCS
Title
Administrator
Phone
(571) 217-8394

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

4609 Pinecrest Office Park Dr Ste D
Alexandria, VA 22312-1442

Mailing address

4609 Pinecrest Office Park Dr Ste D
Alexandria, VA 22312-1442
Phone (703) 827-3757

Other practice location 1

3313 Groveton St Ste D
Alexandria, VA 22306-1520
Phone (703) 763-1115

Other identifiers 1

IdentifierTypeStateIssuer
620351863OtherCANATIONAL HEALTHCAREER ASSOCIATION

Other names 2

  • AAA HOME CARE Doing business as
  • AAA HOME CARE LLC Former legal business name

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL https://prime-wellness-clinic.business.site Health Information Exchange (HIE) PRIME WELLNESS CLINIC LLC
CONNECT URL https://prime-wellness-clinic.business.site/ Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

4609 Pinecrest Office Park Dr
#D
Alexandria, VA 22312

NPI Registry JSON

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1992273635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4609 PINECREST OFFICE PARK DR STE D",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223121442",
            "telephone_number": "703-827-3757",
            "fax_number": "703-226-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4609 PINECREST OFFICE PARK DR STE D",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223121442",
            "telephone_number": "038-273-7577",
            "fax_number": "703-226-3328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3313 Groveton St Ste D",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223061520",
            "country_code": "US",
            "telephone_number": "703-763-1115",
            "fax_number": "703-226-3328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AAA HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-12",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "DEEN",
        "authorized_official_first_name": "BRIMA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "571-217-8394",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CMBCS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL HEALTHCAREER ASSOCIATION",
            "identifier": "620351863",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://prime-wellness-clinic.business.site",
            "affiliation": "Y",
            "endpointDescription": "Primary Physician",
            "affiliationName": "PRIME WELLNESS CLINIC LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4609 Pinecrest Office Park Dr Ste D",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223121442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://prime-wellness-clinic.business.site/",
            "affiliation": "N",
            "endpointDescription": "Primary Physician",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4609 Pinecrest Office Park Dr Ste D",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223121442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "AAA HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AAA HOME CARE LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "AAA HOME CARE LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.