INDEPENDENT LIVING HOME CARE L. L.C. (NPI# 1861004491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861004491 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT LIVING HOME CARE L. L.C. |
| Practice Address |
6115 Mantle Rd Burke VA 22015-3807 |
| Practice Telephone | 2672521119 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |
| Authorized Official Name | ALICIA GREEN (OWNER/VP) |
| Authorized Official Telephone | 2672521119 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
6115 MANTLE RD |
| City | BURKE |
| State | VA |
| Zip Code | 22015-3807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346876182 | Fereshteh Khodaei Shahrokhi | Social Worker | Lyngate Ct, Suite 200, Burke, VA 22015 | 2020-03-12 |
| 1255891594 | Dental Care Burke | Clinic/Center | 9239 Old Keene Road, Burke, VA 22015 | 2019-03-22 |
| 1659866846 | Yasamin Abbaszadeh Rasool | Dentist | 9006 Crownwood Ct, Unit A, Burke, VA 22015 | 2018-06-29 |
| 1407228463 | Burke Dental, Pllc | Dentist | 9006 Fern Park Dr., Suite A, Burke, VA 22015 | 2015-10-29 |
| 1255717575 | Chara Civitello | Occupational Therapist | 5804 Chase Commons Court Apt 207, Burke, VA 22015 | 2015-08-10 |
| 1235576745 | Pediatric Dentistry of Burke PC | Dentist | 5284 Lyngate Court, Burke, VA 22015 | 2013-05-24 |
| 1477801074 | Grace T Neria | Nutritionist | 9108 Lyon Park Court, Burke, VA 22015 | 2012-08-29 |
| 1467711366 | Julio A Dejo Md PC | Internal Medicine | 8998 Fern Park Dr., Burke, VA 22015 | 2012-05-11 |
| 1720373046 | Neelima Neelapala | Physical Therapist | 5982 Annaberg Pl, Burke, VA 22015 | 2011-06-15 |
| 1528294980 | Veena Rani Puri Butler | Nurse Practitioner | 8988 Fern Park Drive, Burke, VA 22015 | 2009-05-29 |
| Find all providers in zip 22015 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033750203 | Medstar Homecare Services LLC | In Home Supportive Care | 9729 Lakepointe Dr, Burke, VA 22015-1881 | 2019-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346227 | Coach for Seniors Inc. | In Home Supportive Care | 7020 Petunia St, Springfield, VA 22152-3448 | 2020-11-06 |
| 1174122162 | Jotava | In Home Supportive Care | 1607 Titanium Avenue, 202, Midlothian, VA 23114 | 2020-10-20 |
| 1629675954 | Uprising Healthcare Services LLC | In Home Supportive Care | 93 Algrace Blvd, Stafford, VA 22556-8608 | 2020-10-09 |
| 1356958136 | Laugh & Live, LLC | In Home Supportive Care | 1702 Todds Lane, Suite 215, Hampton, VA 23666-3213 | 2020-09-25 |
| 1437765716 | Healing Hands Home Health, LLC | In Home Supportive Care | 16520 Goodes Bridge Rd, Amelia Court House, VA 23002-4822 | 2020-09-22 |
| 1861005639 | Icare Home Health Va LLC | In Home Supportive Care | 208 N 2nd Ave Ste 5, Hopewell, VA 23860-2703 | 2020-08-31 |
| 1518570860 | Prime Care Consultants LLC | In Home Supportive Care | 3707 Virginia Beach Blvd Ste 202, Virginia Beach, VA 23452-3412 | 2020-08-26 |
| 1407466931 | Francine Rose Williams | In Home Supportive Care | 17140 Shands Rd, South Prince George, VA 23805-8537 | 2020-08-10 |
| 1255940896 | Elderlescent Care Incorporated | In Home Supportive Care | 3520 Skipping Rock Way, Richmond, VA 23234-2971 | 2020-07-29 |
| 1851900021 | All Day Smiles Companion Care LLC | In Home Supportive Care | 5965 Grand Pavilion Way Unit 103, Alexandria, VA 22303-2284 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
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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.