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Lone Jack Holdings, Inc.
In Home Supportive Care Agency in Fairfax, Virginia
NPI 1124374061

Lone Jack Holdings, Inc. is a In Home Supportive Care Agency based in Fairfax, VA. Lone Jack Holdings, Inc. practices in Fairfax, VA. The NPI Number for Lone Jack Holdings, Inc. is 1124374061 and holds a License No. (Virginia).

The current practice location address for Lone Jack Holdings, Inc. is 10517 Braddock Rd Ste C, Fairfax, VA and can be reached out via phone at 703-267-2380 and via fax at 703-267-2384.

Location: 10517 Braddock Rd Ste C, Fairfax, VA, 22032-2275
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124374061
Provider Name
Lone Jack Holdings, Inc.
Credential
Provider Entity Type
Organization
Address
10517 Braddock Rd Ste C, Fairfax, VA, 22032-2275
Phone Number
703-267-2380
Fax Number
703-267-2384
Provider Enumeration Date
07/30/2012
Last Update Date
12/14/2024
institution
Provider Business Practice Location Address Details
Address
10517 Braddock Rd Ste C
City
Fairfax
State
Virginia
Zip
22032-2275
Phone Number
703-267-2380
Fax Number
703-267-2384
person
Provider Business Mailing Address Details
Address
10517 Braddock Rd Ste C
City
Fairfax
State
Virginia
Zip
22032-2275
Phone Number
703-267-2380
Fax Number
703-267-2384
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Nursing Care
Speciality
-
Taxonomy
251J00000X
License No.
()
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
person
Provider's Taxonomy Details 3
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
()
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
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