MEDICARE: ACADIA HOME CARE LLC

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

General Provider Information

NPI Number	:	1891555033
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACADIA HOME CARE LLC

Provider Business Mailing Address
First Line	:	46191 WESTLAKE DR # 19
Second Line	:
City	:	POTOMAC FALLS
State	:	VA
Zip	:	20165-5870
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	46191 WESTLAKE DR # 19
Second Line	:
City	:	POTOMAC FALLS
State	:	VA
Zip	:	20165-5870
Country	:	US
Telephone Number	:	202-766-2552
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	KAYSAR HIRAD
Credential	:
Telephone Number	:	202-766-2552

Provider Enumeration Date	:	03/21/2024
Last Update Date	:	03/22/2024

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Directions to “ACADIA HOME CARE LLC ” Practice Location

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