Healthcare Provider Details

I. General information

NPI: 1609272616
Provider Name (Legal Business Name): LEADER HOME HEALTH CARE CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2014
Last Update Date: 11/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9501 DANIEL FRENCH ST
LORTON VA
22079-2352
US

IV. Provider business mailing address

9501 DANIEL FRENCH ST
LORTON VA
22079-2352
US

V. Phone/Fax

Practice location:
  • Phone: 703-237-2182
  • Fax: 703-237-0613
Mailing address:
  • Phone: 703-862-9282
  • Fax: 703-237-0613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. THU ANH BUI
Title or Position: OWNER/ DIRECTOR
Credential: DOCTOR OF PHARMACY
Phone: 703-862-9282