Active NPI
Home & Away Care Providers LLC
- Home Health Agency
- Bristow, VA
National Provider Identifier
1992464093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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 DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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
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.