Healthcare Provider Details

I. General information

NPI: 1265825699
Provider Name (Legal Business Name): UNCLE SAM'S HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2015
Last Update Date: 02/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3223 VALLEY PIKE SUITE #3
WINCHESTER VA
22602-5399
US

IV. Provider business mailing address

3223 VALLEY PIKE SUITE #3
WINCHESTER VA
22602
US

V. Phone/Fax

Practice location:
  • Phone: 703-980-5511
  • Fax: 540-535-2083
Mailing address:
  • Phone: 703-980-5511
  • Fax: 540-535-2083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number023800
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. SALIM SAYEGH
Title or Position: OWNER
Credential:
Phone: 703-980-5511