MEDICARE: HANDS OF MERCY

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	HCO-09564	VA

General Provider Information

NPI Number	:	1801030390
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANDS OF MERCY

Provider Business Mailing Address
First Line	:	3536 CARLIN SPRINGS RD
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22041-3003
Country	:	US
Telephone Number	:	703-635-3306
Fax Number	:

Provider Business Practice Location Address
First Line	:	3536 CARLIN SPRINGS RD
Second Line	:	N6
City	:	FALLS CHURCH
State	:	VA
Zip	:	22041-3003
Country	:	US
Telephone Number	:	703-635-3306
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	FADUMA OMAR HUSSEIN
Credential	:
Telephone Number	:	571-338-2684

Provider Enumeration Date	:	04/28/2009
Last Update Date	:	04/28/2009

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Directions to “HANDS OF MERCY ” Practice Location

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