MEDICARE: HOME HEALTH CONNECTION, INC.

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	385H00000X	Respite Care	HCO-07112	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962539395
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME HEALTH CONNECTION, INC.

Provider Business Mailing Address
First Line	:	12007 SUNRISE VALLEY DR
Second Line	:	SUITE 170
City	:	RESTON
State	:	VA
Zip	:	20191-3479
Country	:	US
Telephone Number	:	703-684-3799
Fax Number	:	703-860-2519

Provider Business Practice Location Address
First Line	:	12007 SUNRISE VALLEY DR
Second Line	:	SUITE 170
City	:	RESTON
State	:	VA
Zip	:	20191-3479
Country	:	US
Telephone Number	:	703-684-3799
Fax Number	:	703-860-2519

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	SHAHIN D MAFI
Credential	:	MBA
Telephone Number	:	301-718-0112

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	04/05/2012

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Directions to “HOME HEALTH CONNECTION, INC. ” Practice Location

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