GREEN HOME CARE AGENCY, LLC (NPI# 1912396458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912396458 |
| Entity Type | Organization |
| Organization Name | GREEN HOME CARE AGENCY, LLC |
| Practice Address |
2562 Miranda Ct Woodbridge VA 22191-5175 |
| Practice Telephone | 7034397382 |
| Mailing Telephone | 7034397382 |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-01-21 |
| Authorized Official Name | MS. KHALIDAH A SEDIQ (FOUNDER/CEO) |
| Authorized Official Telephone | 7034397382 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | 372600000X | VA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | IRS | 47-2855057 | 01 |
| Street Address |
2562 MIRANDA CT |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22191-5175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750779195 | Khalidah Sediq | Adult Companion | 2562 Miranda Ct, Woodbridge, VA 22191-5175 | 2015-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861021131 | Bailey Orthodontics Pllc | Dentist | 16446 Navigation Drive, Woodbridge, VA 22191 | 2020-04-07 |
| 1417589326 | Meseret Abate | Registered Nurse | 15608 William Bayliss Ct, Woodbridge, VA 22191 | 2020-02-08 |
| 1992279327 | Velocity Urgent Care, LLC | Clinic/Center | 16422 Navigation Dr, Woodbridge, VA 22191 | 2019-01-18 |
| 1821577263 | Maame Gyasiwah Banahene | Registered Nurse | 1812 Featherstone Rd, Woodbridge, VA 22191 | 2018-08-07 |
| 1235617507 | Yaw P. Baidoo | Nutritionist | 14960 Potomac Heights Pl Apt 503, Woodbridge, VA 22191 | 2018-07-30 |
| 1477048452 | Anahita Abazari | Optometrist | 14901 Potomac Town Pl, Suite 120, Woodbridge, VA 22191 | 2018-06-22 |
| 1619490661 | Misti S Gray | Nurse Practitioner | 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 | 2017-07-21 |
| 1568991974 | Patrice Whilby | Behavior Technician | 2264 York Drive Apt 302, Woodbridge, VA 22191 | 2017-06-08 |
| 1508395245 | Maria Theresa Lee | Registered Nurse | 2028b Opitz Blvd # 22191, Woodbridge, VA 22191 | 2017-06-07 |
| 1861943763 | A1 Home Care, LLC | Home Health | 13928 Jefferson Davis Hwy, Ste # C, Woodbridge, VA 22191 | 2016-10-17 |
| Find all providers in zip 22191 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306387725 | Champ Home Care, LLC | Nursing Care | 12470 Everest Peak Ln, Woodbridge, VA 22192-6733 | 2017-03-17 |
| 1063892024 | Commandcare | Nursing Care | 430 Rahway Ave, Woodbridge, NJ 07095-3305 | 2015-06-04 |
| 1902140155 | Metro Healthcare Systems, Inc | Nursing Care | 3090 Peachtree Ct, Woodbridge, VA 22192-1518 | 2012-11-11 |
| 1497077309 | Hope Wellness Center | Nursing Care | 2881 Ps Business Center Dr, Woodbridge, VA 22192-4227 | 2010-02-18 |
| 1871769844 | Prn Medical Staffers | Nursing Care | 5409 Mapledale Plz, Woodbridge, VA 22193-4526 | 2008-04-30 |
| 1205485745 | Dependable Nursing Care LLC | Nursing Care | 1986 Opitz Blvd, Woodbridge, VA 22191-3304 | 2019-09-07 |
| 1538481023 | Sisters of Hope Nursing Agency | Nursing Care | 2881 Ps Business Center Dr, Woodbridge, VA 22192-4227 | 2010-02-24 |
| 1376685677 | Metropolitan Home Care Inc | Nursing Care | 13168 Centerpointe Way, #102, Woodbridge, VA 22193-5287 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322198 | Sister's Connecting Hearts LLC. | Nursing Care | 1413 Old Bronze Rd, Henrico, VA 23231-4710 | 2020-10-03 |
| 1629686159 | Sylvia's Angels Care | Nursing Care | 184 Revelle Dr, Newport News, VA 23608-2518 | 2020-07-21 |
| 1669095725 | Cynthia's Village Home and Healthcare Services, LLC | Nursing Care | 8 Treebark Pl, Hampton, VA 23666-2179 | 2020-05-24 |
| 1215558234 | Karen Lorena Ruiz Escobar | Nursing Care | 4341 Americana Dr, Annandale, VA 22003-5376 | 2020-04-30 |
| 1215561725 | Oaktree Home, LLC | Nursing Care | 2825 Aaron Dr, Chesapeake, VA 23323-2915 | 2020-02-24 |
| 1184264756 | Light and Glory LLC | Nursing Care | 1513 Mallory Ct, Virginia Beach, VA 23464-6419 | 2020-01-13 |
| 1376188912 | A & J Residential Services LLC | Nursing Care | 2022 Country Lane Ct, Petersburg, VA 23805-2005 | 2019-11-07 |
| 1437792850 | Madirose | Nursing Care | 105 Oronoco St Ste 100, Alexandria, VA 22314-2089 | 2019-10-18 |
| 1447801212 | I Heart Medical Home Care, LLC | Nursing Care | 320 E Broadway Ave Ste 205, Hopewell, VA 23860-2812 | 2019-09-24 |
| 1518516012 | Cheerful Hands Home Care | Nursing Care | 2072 Freeney Ave, Suffolk, VA 23434-3200 | 2019-09-06 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 22191 |
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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.