Organization Active NPI

Home & Away Care Providers LLC

  • Home Health Agency
  • Bristow, VA
National Provider Identifier
1992464093
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOME & AWAY CARE PROVIDERS LLC
Practice address
9383 Falling Water Dr
Bristow, VA 20136-2189
Phone
(571) 450-1333
NPI assigned
Dec 16, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Freda Frimpong Ferguson
Title
Deputy Administrator
Phone
(571) 450-1333

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

9383 Falling Water Dr
Bristow, VA 20136-2189

Mailing address

9383 Falling Water Dr
Bristow, VA 20136-2189
Phone (571) 450-1333

Other names 1

NPPES NPI Registry
  • Home & Away Care Providers LLC Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 16, 2021.

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1992464093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9383 FALLING WATER DR",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201362189",
            "telephone_number": "571-450-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9383 FALLING WATER DR",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201362189",
            "telephone_number": "571-450-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME & AWAY CARE PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "FREDA",
        "authorized_official_middle_name": "FRIMPONG",
        "authorized_official_title_or_position": "DEPUTY ADMINISTRATOR",
        "authorized_official_telephone_number": "571-450-1333",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home & Away Care Providers LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bristow, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.