=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811069610
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOME HEALTH CONNECTION, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/15/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3700 KOPPERS ST SUITE 130
-----------------------------------------------------
City | BALTIMORE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21227-1019
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-525-9300
-----------------------------------------------------
Fax | 410-525-0596
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6900 WISCONSIN AVE SUITE 600
-----------------------------------------------------
City | CHEVY CHASE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20815-6114
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-718-8170
-----------------------------------------------------
Fax | 301-718-7857
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | SHAHIN MAFI
-----------------------------------------------------
Credential | MBA
-----------------------------------------------------
Telephone | 301-718-0112
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | HH1999
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------