=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124642236
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CURE HOME HEALTH, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/04/2020
-----------------------------------------------------
Last Update Date | 10/11/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8300 BOONE BLVD STE 500
-----------------------------------------------------
City | VIENNA
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22182-2681
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 571-331-7128
-----------------------------------------------------
Fax | 703-714-6690
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8300 BOONE BLVD STE 500
-----------------------------------------------------
City | VIENNA
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22182-2681
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 571-331-7128
-----------------------------------------------------
Fax | 703-714-6690
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PRESIDENT
-----------------------------------------------------
Name | RANIA IDRIS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 571-331-7128
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------