ANCIENT HEALING HEALTHCARE SERVICES,LLC


Address: 5680 King Centre Dr, Alexandria, VA 22315-5757
Phone: 7036473645

ANCIENT HEALING HEALTHCARE SERVICES,LLC (NPI# 1356854608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356854608
Entity Type Organization
Organization Name ANCIENT HEALING HEALTHCARE SERVICES,LLC
Practice Address 5680 King Centre Dr
Alexandria
VA 22315-5757
Practice Telephone 7036473645
Mailing Telephone 7036473645
Enumeration Date 2017-11-08
Last Update Date 2017-11-08
Authorized Official Name REHEMA ABRAHAM MOLLEL (ADON)
Authorized Official Telephone 7036473645
Authorized Official Credential ADON
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health HCO-1754 VA Agencies

Office Location

Street Address 5680 KING CENTRE DR
City ALEXANDRIA
State VA
Zip Code 22315-5757

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093119935 Community Support Healthcare LLC Home Health 5680 King Centre Dr, Suite 600, Alexandria, VA 22315-5742 2014-10-21
1386245413 Satta Lahai Behavior Technician 5680 King Centre Dr, Alexandria, VA 22315-5757 2020-11-04
1558968198 Adriana Gabarrete Behavior Technician 5680 King Centre Dr, Alexandria, VA 22315-5757 2020-10-07
1932767605 Hmh Home Care Solutions, LLC In Home Supportive Care 5680 King Centre Dr, Alexandria, VA 22315-5757 2019-05-29
1265095467 Alhassan Kabia Registered Nurse 5680 King Centre Dr, Alexandria, VA 22315-5757 2019-04-15
1851889679 Maria Patereau Behavioral Analyst 5680 King Centre Dr, Alexandria, VA 22315-5757 2018-04-26
1588197024 Ready 2 Serve Home Healthcare LLC Home Health 5680 King Centre Dr, Suite 600, Alexandria, VA 22315-5757 2017-04-11
1467996108 Flavine Tembu Registered Nurse 5680 King Centre Dr, Suite 600, Alexandria, VA 22315-5757 2016-12-15
1194268573 Greater Light Home Health Care LLC Home Health 5680 King Centre Dr, Suite 600, Alexandria, VA 22315-5757 2016-12-02
1881067601 Respira, Inc. Durable Medical Equipment & Medical Supplies 5680 King Centre Dr, Suite 673, Alexandria, VA 22315-5742 2015-11-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861871865 Wegmans Food Markets, Inc. Pharmacy 7905 Hilltop Village Center Drive, Alexandria, VA 22315 2015-05-22
1255731071 Jennifer Becker Registered Nurse 6061 Joust Ln, Alexandria, VA 22315 2014-08-28
1386908564 Gregory James Davis Pharmacist 7100 Silver Lake Rd, Alexandria, VA 22315 2012-07-02
1447525910 Tersit Menberu Gulelat Pharmacist 7216 Lake Cove Dr, Alexandria, VA 22315 2012-03-17
1720392871 Hung Quoc Chau Lu Dentist 6479 Old Beulah St, Alexandria, VA 22315 2010-07-31
1962727958 Armin Susan Razavi Obstetrics & Gynecology 5420 Castle Bar Ln, Alexandria, VA 22315 2010-04-01
1205027463 Roberts Home Medical LLC Durable Medical Equipment & Medical Supplies 5680 King Centre Dr Ste 673, Alexandria, VA 22315 2007-08-05
1114045606 Amanuel Haileab Pharmacist 6400 Lansdown Center, Cvs Pharmacy, Alexandria, VA 22315 2007-03-26
1336265859 Arnold B Braff Optometrist 5800 Kingstowne Blvd, Alexandria, VA 22315 2007-03-22
1154404622 Don J Pisciotta Dentist 6408 Grovedale Drive, Suite 100, Franconia, VA 22315 2006-10-20
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City ALEXANDRIA
Zip Code 22315

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Dataset Information

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.

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