1538248935 NPI number — SHEME HOME HEALTH CARE AGENCY,INC.

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 1538248935 NPI number — SHEME HOME HEALTH CARE AGENCY,INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SHEME HOME HEALTH CARE AGENCY,INC.
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:
1538248935
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/07/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4024 WILLIAMSBURG CT
Provider Second Line Business Mailing Address:
2ND FLOOR
Provider Business Mailing Address City Name:
FAIRFAX
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22032-1139
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-278-0081
Provider Business Mailing Address Fax Number:
703-278-0086

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4024 WILLIAMSBURG CT
Provider Second Line Business Practice Location Address:
2ND FLOOR
Provider Business Practice Location Address City Name:
FAIRFAX
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22032-1139
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-278-0081
Provider Business Practice Location Address Fax Number:
703-278-0086
Provider Enumeration Date:
11/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
WORKALEMHU
Authorized Official First Name:
MEDHINE
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
703-278-0081

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  497768 , 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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