=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831636414
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WASHINGTON HOME HEALTH CARE, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/20/2017
-----------------------------------------------------
Last Update Date | 01/20/2017
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1934 OLD GALLOWS RD SUITE 350
-----------------------------------------------------
City | TYSONS CORNER
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22182-4042
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 202-779-4064
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1934 OLD GALLOWS RD SUITE 350
-----------------------------------------------------
City | TYSONS CORNER
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22182-4042
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MR. SOLEIMAN A ALI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 202-779-4064
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------