Amanda Bready
Home Health in Dulles, VA. Individual provider (NPI-1).
NPI number1396384152
StatusActive
Last updated in NPPESJan 30, 2023
Details
- NPI
- 1396384152
- Entity type
- Individual (NPI-1)
- Name
- Amanda Bready
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 27, 2019
- Certification date
- Jan 25, 2023
- Last updated
- Jan 30, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | HCO-233043 | VA | Yes |
| 225700000X | Massage Therapist | 0019017046 | VA |
Practice location
23420 Summerstown PlDulles, VA 20166-2178
Phone 703-606-3806
Mailing address
23420 Summerstown PlDulles, VA 20166-2178
Phone 703-606-3806
Other practice locations
120 N Lee St # 101
Falls Church, VA 22046-3267
Falls Church, VA 22046-3267
Phone 703-606-3806
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Home Health Agency providers in Dulles, VA
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