Healthcare Provider Details

I. General information

NPI: 1912754359
Provider Name (Legal Business Name): ALL TIME CARING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2024
Last Update Date: 11/08/2024
Certification Date: 11/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43801 NORMANS SWITCH DR
ASHBURN VA
20147-5751
US

IV. Provider business mailing address

43801 NORMANS SWITCH DR
ASHBURN VA
20147-5751
US

V. Phone/Fax

Practice location:
  • Phone: 703-403-7100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MYONGHO KO
Title or Position: ADMINISTRATOR
Credential:
Phone: 703-403-7100