MEDICARE: HOME CARE SOLUTIONS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1215167820
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME CARE SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	19 E. MARKET STREET
Second Line	:	SUITE 201
City	:	LEESBURG
State	:	VA
Zip	:	20176-3001
Country	:	US
Telephone Number	:	301-668-1515
Fax Number	:	301-668-2173

Provider Business Practice Location Address
First Line	:	19 E. MARKET STREET
Second Line	:	SUITE 201
City	:	LEESBURG
State	:	VA
Zip	:	20176-3001
Country	:	US
Telephone Number	:	301-668-1515
Fax Number	:	301-668-2173

Authorized Official
Title or Position	:	CEO
Name	:	BRUCE HAYDEN
Credential	:
Telephone Number	:	301-668-1515

Provider Enumeration Date	:	07/16/2009
Last Update Date	:	10/28/2014

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