=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821355140
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HSC HOME HEALTH CARE, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/12/2012
-----------------------------------------------------
Last Update Date | 11/19/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1 INVENTA PLACE, 6TH FLOOR WEST TOWER
-----------------------------------------------------
City | SILVER SPRING
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20910-5171
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-760-3354
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 748895
-----------------------------------------------------
City | ATLANTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30374-8895
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EVP & CFO
-----------------------------------------------------
Name | ALDWIN C LINDSAY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 301-572-6277
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | HCA-0035
-----------------------------------------------------
License Number State | DC
-----------------------------------------------------