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NPI Code Detail

MEDICARE: NATIONAL HOME HEALTH CARE

MEDICARE: NATIONAL HOME HEALTH CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1073613592
Entity Type Code : Organization
Provider Name (Legal Business Name) : NATIONAL HOME HEALTH CARE
Provider Business Mailing Address
First Line : 5029 BACKLICK RD # A
Second Line :
City : ANNANDALE
State : VA
Zip : 22003-6044
Country : US
Telephone Number : 703-401-7344
Fax Number : 703-333-5952
Provider Business Practice Location Address
First Line : 6642 SAINT JOE RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46835-1933
Country : US
Telephone Number : 703-401-7344
Fax Number : 703-333-5952
Authorized Official
Title or Position : GOVERMENT BODY
Name : AHMED MOSTAFA
Credential :
Telephone Number : 703-401-7344
Provider Enumeration Date : 09/24/2006
Last Update Date : 08/22/2020

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Directions to “NATIONAL HOME HEALTH CARE ” Practice Location

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