Healthcare Provider Details

I. General information

NPI: 1144053638
Provider Name (Legal Business Name): EMPATHY HOME HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2024
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6820 COMMERCIAL DR, STE D, # 16 VA 22151, USA
SPRINGFIELD VA
33151
US

IV. Provider business mailing address

6820 COMMERCIAL DR, STE D, # 16 VA 22151, USA
SPRINGFIELD VA
33151
US

V. Phone/Fax

Practice location:
  • Phone: 612-232-3203
  • Fax:
Mailing address:
  • Phone: 612-232-3203
  • Fax:

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 Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: FILSAN A ISMAIL
Title or Position: DIRECTOR
Credential:
Phone: 612-232-3203