MEDICARE: MEANINGFUL FOUNDATIONS 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	163WH0200X	Home Health Registered Nurse

General Provider Information

NPI Number	:	1922805233
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEANINGFUL FOUNDATIONS HOME CARE, LLC

Provider Business Mailing Address
First Line	:	950 N WASHINGTON ST STE 254
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-2398
Country	:	US
Telephone Number	:	800-285-4246
Fax Number	:

Provider Business Practice Location Address
First Line	:	950 N WASHINGTON ST STE 254
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-2398
Country	:	US
Telephone Number	:	800-285-4246
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. SAMUEL JEREMIAH RASHAD COOPER
Credential	:
Telephone Number	:	202-815-4715

Provider Enumeration Date	:	02/25/2025
Last Update Date	:	02/25/2025

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