MEDICARE: H&C 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
1	253Z00000X	In Home Supportive Care Agency	T-008172	VA

General Provider Information

NPI Number	:	1851523104
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	H&C HOME HEALTH CARE

Provider Business Mailing Address
First Line	:	7018 GROVE RD
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22306-1427
Country	:	US
Telephone Number	:	571-722-3485
Fax Number	:

Provider Business Practice Location Address
First Line	:	7018 GROVE RD
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22306-1427
Country	:	US
Telephone Number	:	571-722-3485
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CLOTILDE N FLORES
Credential	:
Telephone Number	:	571-722-3485

Provider Enumeration Date	:	08/20/2009
Last Update Date	:	08/20/2009

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