Healthcare Provider Details

I. General information

NPI: 1063964831
Provider Name (Legal Business Name): CARING HANDS HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2016
Last Update Date: 10/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6223 GREELEY BLVD
SPRINGFIELD VA
22152-1941
US

IV. Provider business mailing address

11114 WEST AVE
KENSINGTON MD
20895-1933
US

V. Phone/Fax

Practice location:
  • Phone: 678-882-4389
  • Fax:
Mailing address:
  • Phone: 678-882-4389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number2518
License Number StateVA

VIII. Authorized Official

Name: MS. GERMAINE LUCIE FOTCHINE NYA
Title or Position: CEO
Credential:
Phone: 678-882-4389