1730170093 NPI number — HOME HEALTH CARE PROFESSIONALS

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730170093 NPI number — HOME HEALTH CARE PROFESSIONALS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOME HEALTH CARE PROFESSIONALS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730170093
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1934 OLD GALLOWS RD
Provider Second Line Business Mailing Address:
SUITE # 350
Provider Business Mailing Address City Name:
VIENNA
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22182-4042
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-752-6176
Provider Business Mailing Address Fax Number:
703-752-6201

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1934 OLD GALLOWS RD
Provider Second Line Business Practice Location Address:
SUITE # 350
Provider Business Practice Location Address City Name:
VIENNA
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22182-4042
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-752-6176
Provider Business Practice Location Address Fax Number:
703-752-6201
Provider Enumeration Date:
11/03/2005

Additional Information

Authorized Official

Authorized Official Last Name:
ABABIO
Authorized Official First Name:
AKOS
Authorized Official Middle Name:
AMOAKO
Authorized Official Title or Position:
OWNER/CEO
Authorized Official Telephone Number:
703-752-6197

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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