=====================================================
General NPI Number Information
=====================================================
NPI Number | 1215361563
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | 24/7 HOME HEALTH, LLC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/22/2013
-----------------------------------------------------
Last Update Date | 08/22/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4900 LEESBURG PIKE # 405SW
-----------------------------------------------------
City | ALEXANDRIA
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22302-1103
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 567-288-2059
-----------------------------------------------------
Fax | 567-661-1247
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4900 LEESBURG PIKE # 405SW
-----------------------------------------------------
City | ALEXANDRIA
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22302-1103
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 567-288-2059
-----------------------------------------------------
Fax | 567-661-1247
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT / CEO
-----------------------------------------------------
Name | MR. ABDUL H FAQI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 567-288-2059
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------