Active NPI
Aaa Home Care LLC
- Home Health Agency
- Alexandria, VA
National Provider Identifier
1992273635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620351863 | Other | CA | NATIONAL HEALTHCAREER ASSOCIATION |
Other names 2
- AAA HOME CARE
- AAA HOME CARE LLC
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 DirectoryLocations
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.