Jovon Harley is a Point of Service based in Herndon, VA. Jovon Harley practices in Herndon, VA. The NPI Number for Jovon Harley is 1780307058 and holds a License No. (Virginia).
The current practice location address for Jovon Harley is 13873 Park Center Rd Ste 150L, Herndon, VA and can be reached out via phone at 703-479-5259.
Location: 13873 Park Center Rd Ste 150L, Herndon, VA, 20171-3248
Provider Profile Details
NPI Number
1780307058
Provider Name
Jovon Harley
Credential
Provider Entity Type
Individual
Gender
Male
Address
13873 Park Center Rd Ste 150L, Herndon, VA, 20171-3248
Phone Number
703-479-5259
Fax Number
Provider Enumeration Date
09/22/2022
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 872269864 | 05 | DE |
Provider Business Practice Location Address Details
Address
13873 Park Center Rd Ste 150L
City
State
Zip
20171-3248
Phone Number
703-479-5259
Fax Number
Provider Business Mailing Address Details
Address
13873 Park Center Rd Ste 150L
City
State
Zip
20171-3248
Phone Number
703-479-5259
Fax Number
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Basic
Speciality
-
Taxonomy
License No.
()
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Provider's Taxonomy Details 3
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
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.
Provider's Taxonomy Details 4
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
License No.
()
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Provider's Taxonomy Details 5
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
License No.
()
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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