PELULLO HEALTH SERVICES, INC. (NPI# 1598370306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598370306 |
| Entity Type | Organization |
| Organization Name | PELULLO HEALTH SERVICES, INC. |
| Practice Address |
4893 Prince William Pkwy Ste 202 Woodbridge VA 22192-5404 |
| Practice Telephone | 7032728838 |
| Mailing Telephone | 7032728838 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |
| Authorized Official Name | MR. JOSEPH GUY PELULLO (OWNER) |
| Authorized Official Telephone | 7032728838 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| IncrediCare | Doing Business As Name - Organization |
| Street Address |
4893 PRINCE WILLIAM PKWY STE 202 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-5404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| 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 |
|---|---|---|---|---|
| 1932708278 | Caretrust Home Health | Home Health | 13408 Classic Ct, Woodbridge, VA 22192-4502 | 2020-10-19 |
| 1568079663 | Abel Home Health Care LLC | Home Health | 17016 Gatlin Ct, Woodbridge, VA 22191-4446 | 2020-09-23 |
| 1023627452 | Elyon Home Healthcare, LLC. | Home Health | 15337 Barnabas Trl, Woodbridge, VA 22193-5566 | 2020-07-31 |
| 1235752056 | Camellia Home Care Agency LLC | Home Health | 15300 Auburn Hills Dr, Woodbridge, VA 22193-5761 | 2020-05-27 |
| 1639702343 | Infinite Personal Care LLC | Home Health | 1750 Lakewood Dr, Woodbridge, VA 22192-2817 | 2020-02-20 |
| 1609417922 | American Home Healthcare Services | Home Health | 13000 Harbor Center Dr Ste 364, Woodbridge, VA 22192-2846 | 2019-10-08 |
| 1669022158 | Ultimate Senior Care | Home Health | 12801 Darby Brook Ct Ste 201, Woodbridge, VA 22192-2497 | 2019-09-16 |
| 1396305314 | 1st Premier Home Care LLC | Home Health | 13198 Centerpointe Way Ste 102, Woodbridge, VA 22193-5285 | 2019-06-20 |
| 1235794850 | Peaceful Health and Residential Service | Home Health | 5088 Two Chimneys Ct, Woodbridge, VA 22193-3264 | 2019-05-08 |
| 1891359063 | J&n Exquisite Homecare Inc. | Home Health | 164 Pikeview Ln, Woodbridge, NJ 07095-1018 | 2019-04-23 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
Please comment or provide details below to improve the information on PELULLO HEALTH SERVICES, INC..
| 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.