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General NPI Number Information
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NPI Number | 1326889437
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Entity Type | Organization
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Legal Business Name | FIVE DIAMONDS HOME HEALTH, LLC
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 6521 ARLINGTON BLVD STE 110
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City | FALLS CHURCH
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State | VA
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Zip | 22042-3017
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Country | US
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Telephone | 703-208-7352
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Fax | 800-319-4611
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Provider Business Mailing Address
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Address Line | 6521 ARLINGTON BLVD STE 110
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City | FALLS CHURCH
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State | VA
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Zip | 22042-3017
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Country | US
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Telephone | 703-208-7352
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Fax | 800-319-4611
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Authorized Official
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Title or Position | PRESIDENT
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Name | KHANH-LINH TRAN
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Credential |
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Telephone | 571-314-4005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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