Healthcare Provider Details

I. General information

NPI: 1548502990
Provider Name (Legal Business Name): HELPING HAND HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2013
Last Update Date: 07/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7217 LOCKPORT PL SUITE 204
LORTON VA
22079-1584
US

IV. Provider business mailing address

7217 LOCKPORT PL SUITE 204
LORTON VA
22079-1584
US

V. Phone/Fax

Practice location:
  • Phone: 571-344-0754
  • Fax:
Mailing address:
  • Phone: 571-344-0754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHCO-14979
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberHCO-14979
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberHCO-14979
License Number StateVA

VIII. Authorized Official

Name: MR. JABRIL OMAR
Title or Position: DIRECTOR
Credential:
Phone: 571-344-0754