PELULLO HEALTH SERVICES, INC.


Address: 4893 Prince William Pkwy Ste 202, Woodbridge, VA 22192-5404
Phone: 7032728838

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health Agencies

Other Provider/Organization Names

Other Name Type Code
IncrediCare Doing Business As Name - Organization

Office Location

Street Address 4893 PRINCE WILLIAM PKWY STE 202
City WOODBRIDGE
State VA
Zip Code 22192-5404

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NPI Name Taxonomy Address Enumeration
1245873645 Ursula Jackson Technician 3500 Commission Ct, Woodbridge, VA 22192 2019-10-18
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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
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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
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
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Competitor

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City WOODBRIDGE
Zip Code 22192

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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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