LONG HEALTHCARE (NPI# 1619263092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619263092 |
| Entity Type | Organization |
| Organization Name | LONG HEALTHCARE |
| Other Organization Name | E-STAFF (OLD NAME) |
| Practice Address |
12998 Taxi Drive Woodbridge VA 22193 |
| Mailing Address |
Po Box 1033 Woodbridge VA 22193 |
| Practice Telephone | 2407931375 |
| Mailing Telephone | 2407931375 |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-06-23 |
| Authorized Official Name | MS. ERICA CATHERINE BOULING (OWNER) |
| Authorized Official Telephone | 2407931375 |
| Authorized Official Credential | CNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 376K00000X | Nurse's Aide | Nursing Service Related Providers | ||
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| Other Name | Type Code |
|---|---|
| E-Staff (Old Name) | Other Name - Individual/Organization |
| Street Address |
12998 TAXI DRIVE |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083111702 | Bethiana Magallanes White | Speech-Language Pathologist | 14450 Brook Dr, Woodbridge, VA 22193 | 2018-04-09 |
| 1982111449 | Frances Davis | Social Worker | 4196 Merchant Plaza Apt 632, Woodbridge, VA 22193 | 2018-01-05 |
| 1427421627 | Woodbridge Therapy Group LLC | Counselor | 12721 Darby Brooke Ct., Suite 102, Woodbridge, VA 22193 | 2015-11-10 |
| 1972981090 | Lifeline Home Health Inc | Community/Behavioral Health | 4309 Kenwood Dr, Woodbridge, VA 22193 | 2015-05-08 |
| 1588056139 | Lifelong Good Health LLC | Clinic/Center | 5721 Rhode Isalnd Drive, Woodbridge, VA 22193 | 2015-02-19 |
| 1639560378 | Tara Devi Smith | Psychologist | 13855 Hedgewood Drive, #245, Woodbridge, VA 22193 | 2015-02-17 |
| 1710396114 | Allanna Harrison | Speech-Language Pathologist | 15792 Beau Ridge Dr., Woodbridge, VA 22193 | 2014-08-11 |
| 1659788909 | Lifelong Good Health | Clinic/Center | 5721 Rhode Island Dr, Woodbridge, VA 22193 | 2014-07-18 |
| 1952731960 | Corrieann Marie Avila | Social Worker | 12721 Darby Brooke Court, Suite 102, Woodbridge, VA 22193 | 2013-11-13 |
| 1972881019 | Ockhee Jung | Acupuncturist | 14174 Rizdon Ct, Woodbridge, VA 22193 | 2011-07-22 |
| Find all providers in zip 22193 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659979813 | Alpha Health Home Services | Home Health Aide | 15297 Grist Mill Ter, Woodbridge, VA 22191-3801 | 2020-10-10 |
| 1730724675 | Jeannine Alexander Wilkins | Home Health Aide | 12288 Granada Way, Woodbridge, VA 22192-6234 | 2019-11-14 |
| 1679116271 | Christelle Isambo | Home Health Aide | 15125 Cardin Pl, Woodbridge, VA 22193-5338 | 2019-10-26 |
| 1033752449 | 1st You Healthcare Professionals, LLC | Home Health Aide | 13512 Minnieville Rd Ste 260, Woodbridge, VA 22192-4208 | 2019-10-18 |
| 1225685464 | Contenna Williams | Home Health Aide | 15248 Barnabas Trl, Woodbridge, VA 22193-5570 | 2019-08-22 |
| 1336604669 | Barbara Vargas | Home Health Aide | 4936 Brightleaf Ct, Woodbridge, VA 22193-3208 | 2019-01-31 |
| 1639644529 | Crissy Kibic | Home Health Aide | 14507 Crossfield Way, Woodbridge, VA 22191-4028 | 2018-10-08 |
| 1356824890 | Elizabeth Bonghor Bangura | Home Health Aide | 1940 Gableridge Turn, Woodbridge, VA 22191-1972 | 2018-09-11 |
| 1588143630 | Victor L Mukasa | Home Health Aide | 13000 Harbor Center Dr Ste 312, Woodbridge, VA 22192-2847 | 2018-08-09 |
| 1932692662 | Theresa Davis Lyon | Home Health Aide | 4308a Ridgewood Center Dr, Woodbridge, VA 22192-5307 | 2018-06-07 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22193 |
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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.