BLUE HEART LLC (NPI# 1346783255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346783255 |
| Entity Type | Organization |
| Organization Name | BLUE HEART LLC |
| Other Organization Name | TLC HEALTH SERVICES LLC |
| Practice Address |
3022 Javier Rd Suite 104a Fairfax VA 22031-4645 |
| Practice Telephone | 7036461531 |
| Mailing Telephone | 7036461531 |
| Enumeration Date | 2016-11-25 |
| Last Update Date | 2016-11-25 |
| Authorized Official Name | SYED SUHAIB ASIF SHAH (ADMINISTRATOR) |
| Authorized Official Telephone | 7036067829 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | HCO-171537 | VA | Agencies |
| Other Name | Type Code |
|---|---|
| TLC Health Services LLC | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Blue Heart LLC | 2730 Xavier St, Denver, CO 80212 |
| Street Address |
3022 JAVIER RD SUITE 104A |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-4645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750380887 | Hazel E Bowen-wright | Internal Medicine | 3022 Javier Rd, Suites 105g, Fairfax, VA 22031-4645 | 2005-07-20 |
| 1215462296 | Gateway Healthcare Services LLC | Home Health | 3022 Javier Rd, Suite # 207, Fairfax, VA 22031-4645 | 2017-04-27 |
| 1588028450 | Inova Home Health Care, LLC | Home Health | 3022 Javier Rd, Suite 140, Fairfax, VA 22031-4645 | 2016-04-07 |
| 1104204262 | Outstanding Possibilities Revealed, LLP | Day Training, Developmentally Disabled Services | 3022 Javier Rd, Suite 130, Fairfax, VA 22031-4645 | 2015-05-09 |
| 1548657554 | Absolute Healthcare Resources, LLC | Clinic/Center | 3022 Javier Rd, Suite 104, Fairfax, VA 22031-4645 | 2015-04-17 |
| 1528472362 | Bilem Health Services, Inc. | Home Health | 3022 Javier Rd, Suite 124, Fairfax, VA 22031 | 2014-06-19 |
| 1871904078 | Arise-n-shine Healthcare, LLC | Respite Care | 3022 Javier Rd, Suite 105h, Fairfax, VA 22031-4645 | 2014-05-12 |
| 1447684691 | Virginia Endocrinology Consultants | Clinic/Center | 3022 Javier Rd, Suites 105g, Fairfax, VA 22031-4645 | 2013-08-23 |
| 1235561549 | Better Health Clinic, Inc | Clinic/Center | 3022 Javier Rd, Suite 205, Fairfax, VA 22031-4645 | 2013-08-08 |
| 1902145535 | Shanjia Cui | Acupuncturist | 3022 Javier Rd, Suite 205, Fairfax, VA 22031-4645 | 2013-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| 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.