Healthcare Provider Details

I. General information

NPI: 1871113480
Provider Name (Legal Business Name): SNOW WHITE HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2020
Last Update Date: 04/23/2020
Certification Date: 04/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

370 NEFF AVE STE I11
HARRISONBURG VA
22801-3686
US

IV. Provider business mailing address

370 NEFF AVE STE I11
HARRISONBURG VA
22801-3686
US

V. Phone/Fax

Practice location:
  • Phone: 571-212-3506
  • Fax: 703-738-7729
Mailing address:
  • Phone: 571-212-3506
  • Fax: 703-738-7729

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: HARISH KUMAR SAHAI
Title or Position: ADMINISTRATOR
Credential:
Phone: 571-212-3506