Healthcare Provider Details

I. General information

NPI: 1518208388
Provider Name (Legal Business Name): CBN HEALTHCARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2013
Last Update Date: 05/28/2021
Certification Date: 05/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1549 OLD BRIDGE RD STE 303
WOODBRIDGE VA
22192-2737
US

IV. Provider business mailing address

15301 COMUS CT
WOODBRIDGE VA
22193-5877
US

V. Phone/Fax

Practice location:
  • Phone: 571-398-2600
  • Fax: 571-512-7199
Mailing address:
  • Phone:
  • 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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. CHIAGOZIE BEN NWOSU
Title or Position: PRESIDENT
Credential:
Phone: 703-589-0630