MEDCARE HOME CARE SERVICES, LLC (NPI# 1043674674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043674674 |
| Entity Type | Organization |
| Organization Name | MEDCARE HOME CARE SERVICES, LLC |
| Practice Address |
12567 Summit Manor Dr 313 Fairfax VA 22033-5718 |
| Practice Telephone | 2022708256 |
| Enumeration Date | 2016-04-10 |
| Last Update Date | 2016-04-29 |
| Authorized Official Name | TAMARA SHILLINGFORD (C.E.O) |
| Authorized Official Telephone | 2022708256 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
12567 SUMMIT MANOR DR 313 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-5718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| 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.