DOMAIN MEDICAL HOME HEALTH & STAFFING, INC. (NPI# 1457656084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457656084 |
| Entity Type | Organization |
| Organization Name | DOMAIN MEDICAL HOME HEALTH & STAFFING, INC. |
| Practice Address |
2121 Eisenhower Ave Suite 112 Alexandria VA 22314-4698 |
| Practice Telephone | 7032994949 |
| Practice Fax Number | 7032996699 |
| Mailing Telephone | 7032994949 |
| Mailing Fax Number | 7032996699 |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2011-04-04 |
| Authorized Official Name | MR. GIBSON ERHUNMWUNSE (CEO) |
| Authorized Official Telephone | 7032994949 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | HC0-11711 | VA | Agencies |
| Street Address |
2121 EISENHOWER AVE SUITE 112 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22314-4698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356365126 | Mark Richard Gordon | Dentist | 2121 Eisenhower Ave, Suite 502, Alexandria, VA 22314-4698 | 2006-07-26 |
| 1215561402 | Bruhaspaty Prasad | Social Worker | 2121 Eisenhower Ave, Alexandria, VA 22314-4698 | 2020-02-26 |
| 1477100428 | Samantha Adas | Dietitian, Registered | 2121 Eisenhower Ave, Alexandria, VA 22314-4698 | 2019-08-23 |
| 1760904270 | Ashley Mitchell | Counselor | 2121 Eisenhower Ave, Alexandria, VA 22314 | 2017-07-17 |
| 1932637303 | Laura Fryman | Speech-Language Pathologist | 2121 Eisenhower Ave, Alexandria, VA 22314-4698 | 2017-05-31 |
| 1174916399 | Altimate Home Health Care Services Inc. | Home Health | 2121 Eisenhower Ave, Suite 200, Alexandria, VA 22314-4698 | 2015-03-12 |
| 1740687490 | Practical Speech Solutions, Plc | Speech-Language Pathologist | 2121 Eisenhower Ave, Suite #234, Alexandria, VA 22314-4698 | 2014-11-24 |
| 1659700565 | Neurofeedback Consultants | Counselor | 2121 Eisenhower Ave, Suite 604, Alexandria, VA 22314-4698 | 2013-11-01 |
| 1154756963 | Caring Consultants | Social Worker | 2121 Eisenhower Ave, Suite 604, Alexandria, VA 22314-4698 | 2013-09-11 |
| 1023349594 | Reliance Home Care Services LLC | Home Health | 2121 Eisenhower Ave, Suite 200, Alexandria, VA 22314-4698 | 2010-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359889 | Faustina Darko Sarpong | Registered Nurse | Alexandria Residential Treatment Center, 2355 Mill Rd, Alexandria, VA 22314 | 2019-07-29 |
| 1184276396 | Alyah Ann Gilberry | Behavior Technician | 2801 Duke St, Alexandria, VA 22314 | 2019-07-09 |
| 1194287961 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 915 N Saint Asaph Street, Suite 130, Alexandria, VA 22314 | 2019-04-02 |
| 1508321860 | Turning Point Counseling Services LLC | Social Worker | 500 North Washington St, Alexandria, VA 22314 | 2019-01-31 |
| 1841769981 | Melanie Lynn Froemke | Social Worker | Alexandria Place Therapy, 108a South Columbus St, Alexandria, VA 22314 | 2018-11-19 |
| 1245718394 | Kmt Medical Transport LLC | Non-emergency Medical Transport (VAN) | 1727 King St Ste 300, Alexandria, VA 22314 | 2018-07-31 |
| 1730678632 | Jacquelyn Clarissa Lusk | Social Worker | 1340 Braddock Place, Alexandria, VA 22314 | 2018-05-07 |
| 1083142160 | Kings Medical Transportation Incorported | Non-emergency Medical Transport (VAN) | 1727 King Strreet, Suite 300, Alexandria, VA 22314 | 2017-06-01 |
| 1114478930 | Tanne B Gabler | Social Worker | 719 S. Fayette St, Alexandria, VA 22314 | 2016-10-17 |
| 1902359409 | Emily Chow | Dentist | 1725 Duke St, Suite Gr03, Alexandria, VA 22314 | 2016-08-01 |
| Find all providers in zip 22314 | ||||
| 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 |
|---|---|---|---|---|
| 1356949119 | Virginia Healthcare Home Services | Home Health | 6186 Edsall Rd Apt 147, Alexandria, VA 22304-5888 | 2020-10-14 |
| 1063026425 | Natasha Guidry | Home Health | 4051 Bayou Rapides Rd Apt 702, Alexandria, LA 71303-4062 | 2020-09-03 |
| 1124639471 | Medina Healthcare Services LLC | Home Health | 8639 Engleside Office Park Ste C, Alexandria, VA 22309-4132 | 2020-08-11 |
| 1568080471 | 1faith Compassion Home Care, LLC | Home Health | 8738 Talbott Farm Dr, Alexandria, VA 22309-4342 | 2020-07-07 |
| 1306467964 | Blue Beginning Health, Inc. | Home Health | 2000 Duke St Ste 300, Alexandria, VA 22314-6101 | 2020-05-05 |
| 1104447374 | Bunny Home Health Care, Ll C | Home Health | 7759 Sullivan Cir, Alexandria, VA 22315-6076 | 2020-04-29 |
| 1053932459 | Classic Nurses Services Inc. | Home Health | 85 S Bragg St Ste 103, Alexandria, VA 22312-2793 | 2020-04-27 |
| 1740816800 | Hope Home Care Services, LLC | Home Health | 5680 King Centre Dr Ste 629, Alexandria, VA 22315-5755 | 2020-03-19 |
| 1811528698 | Heartbeat Homecare Agency LLC | Home Health | 5680 King Centre Dr Ste 653, Alexandria, VA 22315-5755 | 2020-01-30 |
| 1083245112 | Apex Classic Home Health Care | Home Health | 4711 Lauriefrost Ct., Alexandria, VA 22309 | 2020-01-28 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22314 |
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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.