JSA HOMECARE (NPI# 1003363003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003363003 |
| Entity Type | Organization |
| Organization Name | JSA HOMECARE |
| Other Organization Name | COMFORT KEEPERS |
| Practice Address |
10721 Main St Suite 304 Fairfax VA 22030-6914 |
| Practice Telephone | 7035917117 |
| Mailing Telephone | 7035917117 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |
| Authorized Official Name | SHANNON M. NORTH-GILES (PRESIDENT) |
| Authorized Official Telephone | 7035917117 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | HCO-15261 | VA | Agencies |
| Other Name | Type Code |
|---|---|
| Comfort Keepers | Doing Business As Name - Organization |
| Street Address |
10721 MAIN ST SUITE 304 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-6914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641959 | Raymond James Olkin | Podiatrist | 10721 Main St, Ste 103, Fairfax Medical Center, Fairfax, VA 22030-6914 | 2005-06-28 |
| 1609321611 | Complete Dermatology of Virginia, Inc. | Specialist | 10721 Main St, Suite 3100, Fairfax, VA 22030-6914 | 2016-08-19 |
| 1841686953 | Better Life Inc. | Chiropractor | 10721 Main St, 307, Fairfax, VA 22030-6914 | 2015-04-15 |
| 1053718924 | Family Pharmacy, Inc | Pharmacy | 10721 Main St, 107, Fairfax, VA 22030-6914 | 2014-11-20 |
| 1033511324 | Mind Matters Psychiatry, LLC | Clinic/Center | 10721 Main St, Suite 2450, Fairfax, VA 22030-6914 | 2014-09-18 |
| 1093159717 | Maple Chiropractic & Acupuncture Clinic, LLC | Chiropractor | 10721 Main St, Suite # 2500, Fairfax, VA 22030-6914 | 2013-04-24 |
| 1730465212 | William Linwood Outten IIi | Dentist | 10721 Main St, Suite 203, Fairfax, VA 22030-6902 | 2011-10-27 |
| 1679855183 | Julie Elwell | Social Worker | 10721 Main St, Ste. 2350, Fairfax, VA 22030-6914 | 2011-09-12 |
| 1063792448 | Hyun Kyn Choi | Acupuncturist | 10721 Main St, G7, Fairfax, VA 22030-6914 | 2011-08-17 |
| 1346538428 | Iconic Dagnostic Imaging Inc | Radiology | 10721 Main St, #204, Fairfax, VA 22030-6914 | 2011-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196370 | Physiocore LLC | Home Health | 10268 Latney Rd, Fairfax, VA 22032-3256 | 2020-08-25 |
| 1891305686 | Global Resources and Supports | Home Health | 10560 Main St Ste 316, Fairfax, VA 22030-7175 | 2020-08-06 |
| 1851920946 | Bridge To Homecare | Home Health | 10605 Judicial Dr Ste B4, Fairfax, VA 22030-5167 | 2020-04-02 |
| 1326671348 | Comprehensive Care Services Agency LLC | Home Health | 3022 Javier Rd Ste 209, Fairfax, VA 22031-4657 | 2020-02-18 |
| 1831729409 | Maya Home Health Care LLC | Home Health | 3615 Chain Bridge Rd Ste C, Fairfax, VA 22030-3237 | 2020-01-22 |
| 1033755806 | Trillium Home Health Care, LLC | Home Health | 12471 Hayes Ct Unit 103, Fairfax, VA 22033-4298 | 2019-11-26 |
| 1700439593 | Vernon Davis Home Health Care Inc. | Home Health | 10400 Eaton Pl Ste 202, Fairfax, VA 22030-2208 | 2019-07-20 |
| 1881150803 | Care First LLC | Home Health | 4210 Mozart Brigade Ln Apt F, Fairfax, VA 22033-3955 | 2019-02-14 |
| 1669936365 | Ajir Home Care, LLC | Home Health | 3045 Mission Square Dr, Fairfax, VA 22031-1113 | 2019-01-27 |
| 1962974352 | Vitalityhome Healthcare, LLC | Home Health | 4123 Fountainside Ln, Fairfax, VA 22030-7402 | 2018-12-22 |
| Find all providers in FAIRFAX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.