Home & Away Care Providers LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HOME & AWAY CARE PROVIDERS LLC

Doing business as

Home & Away Care Providers LLC

Practice address

9383 Falling Water Dr
Bristow, VA 20136-2189

Phone

(571) 450-1333

NPI assigned

Dec 16, 2021

Last updated

Dec 16, 2021By 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

Mrs. Freda Frimpong Ferguson

Title

Deputy Administrator

Phone

(571) 450-1333

Specialties & licenses 1

Addresses

Other names 1

• Home & Away Care Providers LLC Doing business as

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

{
    "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"
        }
    ]
}

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• Home Health Agency in Bristow, VA
• Providers in Bristow, VA by specialty
• Home Health Agency in Virginia

• 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.