Healthcare Provider Details

I. General information

NPI: 1871813659
Provider Name (Legal Business Name): BESTCARE HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2010
Last Update Date: 07/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2070 OLD BRIDGE RD SUITE 202
WOODBRIDGE VA
22192-2495
US

IV. Provider business mailing address

2070 OLD BRIDGE RD SUITE 202
WOODBRIDGE VA
22192-2495
US

V. Phone/Fax

Practice location:
  • Phone: 703-497-2273
  • Fax: 703-372-3259
Mailing address:
  • Phone: 703-497-2273
  • Fax: 703-372-3259

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: EBENEZER ASANTE
Title or Position: PRESIDENT
Credential:
Phone: 703-497-2273