MEDICARE: BEST FAMILY HOME 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
1	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00000000	OTHER	VA	TAX ID

General Provider Information

NPI Number	:	1457613143
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST FAMILY HOME CARE

Provider Business Mailing Address
First Line	:	2708 POPLAR HAVEN CT
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23223-2171
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2708 POPLAR HAVEN CT
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23223-2171
Country	:	US
Telephone Number	:	804-319-0056
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	GUILLAUME KENGI
Credential	:
Telephone Number	:	301-520-4030

Provider Enumeration Date	:	06/09/2012
Last Update Date	:	06/09/2012

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Directions to “BEST FAMILY HOME CARE ” Practice Location

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