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Contact Information

JOVON HARLEY
13873 PARK CENTER RD STE 150L
HERNDON, VA20171-3248
 Phone: 703-479-5259
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Point of Service

305S00000X
 

Attendant Care Provider

3747A0650X
 

Emergency Medical Technician, Basic

146N00000X
 

Home Health

251E00000X A4[11] Home Health Agency
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for

NPI Number 1780307058
Entity Organization
Organization subpart 1 Not specified
Enumeration date 09/22/2022
Last updated 09/22/2022 - About 4 years ago
Identifiers
DE Medicaid 872269864
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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