Healthcare Provider Details

I. General information

NPI: 1356617500
Provider Name (Legal Business Name): HOME CARE ASSISTANCE INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2012
Last Update Date: 03/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2465 CENTREVILLE RD STE J17-206
OAK HILL VA
20171-4586
US

IV. Provider business mailing address

2465 CENTREVILLE RD STE J17-206
OAK HILL VA
20171-4586
US

V. Phone/Fax

Practice location:
  • Phone: 703-628-4856
  • Fax:
Mailing address:
  • Phone: 703-628-4856
  • Fax:

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: MS. ELMIRA G. SAVAGE
Title or Position: CEO
Credential:
Phone: 703-628-4856