Organization · Type 2 NPI

Lone Jack Holdings, Inc.

Home Health Agency · Fairfax, VA

NPI number 1124374061 Active

Practice location

10517 Braddock Rd Ste C
Fairfax, VA 22032-2275

Call (703) 267-2380 Map

Fax (703) 267-2384

Other practice locations

19218 Forest Rd, Lynchburg, VA 24502-4478 · (434) 300-3220
3243 Electric Rd Ste 2A, Roanoke, VA 24018-6440 · (540) 566-5888

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	None listed
Nursing Care Agency	251J00000X	None listed
In Home Supportive Care Agency	253Z00000X	None listed

Home Health Agency: 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 organ…

Other home health agency providers in Fairfax

See all in Fairfax →

NPI record

NPI: 1124374061
Entity type: Organization (Type 2)
Issued: Jul 30, 2012
Last updated: Nov 25, 2024
Status: Active

Other names

<unavail>
Brightstar of Fairfax · doing business as
Brightstar of Fairfax · doing business as

Authorized official

Mr. Robert Withers Massie
President
(630) 699-5900

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1124374061

Lone Jack Holdings, Inc.'s National Provider Identifier is 1124374061, issued on Jul 30, 2012. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Fairfax, VA. The record was last updated on Nov 25, 2024.