Healthcare Provider Details

I. General information

NPI: 1588362461
Provider Name (Legal Business Name): MULTITUDE HOME HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2023
Last Update Date: 07/24/2024
Certification Date: 07/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8320 OLD COURTHOUSE RD STE 500
VIENNA VA
22182-3869
US

IV. Provider business mailing address

8320 OLD COURTHOUSE RD STE 500
VIENNA VA
22182-3869
US

V. Phone/Fax

Practice location:
  • Phone: 877-851-7131
  • Fax: 703-688-2201
Mailing address:
  • Phone: 877-851-7131
  • Fax: 703-688-2201

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: OYEBUSOLA OWORU
Title or Position: PRESIDENT
Credential:
Phone: 877-851-7131