Healthcare Provider Details

I. General information

NPI: 1588001150
Provider Name (Legal Business Name): OPM GLOBAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2013
Last Update Date: 11/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4160 CHAIN BRIDGE RD
FAIRFAX VA
22030-4114
US

IV. Provider business mailing address

8009 DAFFODIL COURT
SPRINGFIELD VA
22152-1056
US

V. Phone/Fax

Practice location:
  • Phone: 571-422-1471
  • Fax: 866-531-6484
Mailing address:
  • Phone: 701-338-8934
  • Fax: 866-531-6484

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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: PATRICE KONE
Title or Position: OWNER/CEO
Credential:
Phone: 703-338-8934