ELABORATE HOME HEALTHCARE SERVICES, LLC (NPI# 1629576947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629576947 |
| Entity Type | Organization |
| Organization Name | ELABORATE HOME HEALTHCARE SERVICES, LLC |
| Practice Address |
5586 General Washington Dr Ste 2 Alexandria VA 22312-2465 |
| Mailing Address |
223 Scottdale Rd Apt B209 Lansdowne PA 19050-2372 |
| Practice Telephone | 2155949392 |
| Practice Fax Number | 2155949392 |
| Mailing Telephone | 2155949392 |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2019-02-06 |
| Authorized Official Name | KATHERINE EYEGUE-SANDY (CEO/PRESIDENT) |
| Authorized Official Telephone | 2155949392 |
| Authorized Official Credential | DNP, APRN, CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Street Address |
5586 GENERAL WASHINGTON DR STE 2 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22312-2465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639710429 | Lake Barcroft Dental Group, PC | Dentist | 6464 A1 Lincolnia Rd, Alexandria, VA 22312 | 2019-10-02 |
| 1538684790 | Feras Ibrahim Hawari | Internal Medicine | 4714 Minor Cir, Alexandria, VA 22312 | 2017-08-09 |
| 1285081984 | Nicole Heidbreder Lehr | Behavioral Analyst | 5400 Shawnee Rd Ste 208, Alexandria, VA 22312 | 2016-05-23 |
| 1922486372 | Fassity Home Care LLC | Home Health | 6601 Little River Turn Pike, Suit 210, Alexandria, VA 22312 | 2015-05-18 |
| 1730582107 | Prospect Homecare Agency | Home Health | 5568 General Washington Drive, Suite A 203, Alexandria, VA 22312 | 2014-09-30 |
| 1396926952 | Fairfax Home Health Care, Inc. | Home Health | 4810 Beauregard Street, Suite G4, Alexandria, VA 22312 | 2007-11-23 |
| 1114047768 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 5590 General Washington Drive, Alexandria, VA 22312 | 2007-03-29 |
| 1548339682 | Virginia Pathology Svcs PC | Pathology | 6121 Lincolnia Rd, Suite 108, Alexandria, VA 22312 | 2006-11-06 |
| 1336150531 | Joel Carlton Goldstein | Dentist | 4605 B Pinecrest Office Park Dr, Alexandria, VA 22312 | 2006-08-11 |
| 1619915923 | Jong K Lee | Family Medicine | 4605 A Pinecrest Office, Alexandria, VA 22312 | 2006-06-02 |
| Find all providers in zip 22312 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801867833 | Pediatric Therapy Center | Clinic/Center | 1300 Jackson St, Alexandria, LA 71301-6929 | 2006-01-28 |
| 1609261981 | Amian Care Services, LLC | Clinic/Center | 3600 Government St., Alexandria, LA 71302 | 2015-04-02 |
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|---|---|---|---|---|
| 1619585817 | Resilient Minds LLC | Clinic/Center | 541 Luck Ave Sw Ste 318, Roanoke, VA 24016-5023 | 2020-07-14 |
| 1629696463 | Open Arms Occupational Therapy LLC | Clinic/Center | 18556 Kerill Rd, Triangle, VA 22172-2058 | 2020-07-08 |
| 1366074460 | Amanda Rawlins | Clinic/Center | 2121 River Oaks Dr, Salem, VA 24153-7369 | 2020-02-06 |
| 1922642529 | Spectrum Life Solutions | Clinic/Center | 611 Maple Grove Dr, Fredericksburg, VA 22407-6824 | 2019-11-06 |
| 1750922019 | Transcendent Lifestyles LLC | Clinic/Center | 900 Commonwealth Pl Ste 217, Virginia Bch, VA 23464-4529 | 2019-10-07 |
| 1780141374 | Newwave Behavioral Consultation LLC | Clinic/Center | 2531 Hillsman St, Falls Church, VA 22043-3336 | 2019-03-01 |
| 1407311962 | Vision Healthcare Services | Clinic/Center | 3908 Cherry Hill Way, Annandale, VA 22003-2219 | 2019-02-08 |
| 1235613357 | Exceptional People Plus LLC | Clinic/Center | 1761 Church St Ste 100, Norfolk, VA 23504-2313 | 2018-09-25 |
| 1619450665 | Evercare LLC | Clinic/Center | 6203 Beachway Dr, Falls Church, VA 22041-1401 | 2018-09-14 |
| 1588190417 | Transcendent Lifestyles LLC | Clinic/Center | 4853 Tunlaw Ct, Virginia Beach, VA 23462-7236 | 2017-05-11 |
| Find all providers with the same taxonomy | ||||
| City | ALEXANDRIA |
| Zip Code | 22312 |
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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.