Healthcare Provider Details
I. General information
NPI: 1336602234
Provider Name (Legal Business Name): DONKOR AND HUGH ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/09/2019
Last Update Date: 05/15/2020
Certification Date: 05/15/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5 DOG HOLLOW LN
STAFFORD VA
22556-1050
US
IV. Provider business mailing address
524 GARRISONVILLE RD UNIT 713
GARRISONVILLE VA
22463-1238
US
V. Phone/Fax
- Phone: 540-391-1711
- Fax: 540-390-9912
- Phone: 540-391-1711
- Fax: 540-390-9912
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251F00000X |
| Taxonomy | Home Infusion Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOYCE
HUGH TAGOE-TUFFOUR
Title or Position: ADMINISTRATOR
Credential:
Phone: 540-391-1711