Provider Demographics
NPI:1013211358
Name:CARDIAC CONNECTIONS HOME HEALTH CARE NURSING SERVICES CORP.
Entity Type:Organization
Organization Name:CARDIAC CONNECTIONS HOME HEALTH CARE NURSING SERVICES CORP.
Other - Org Name:THE CARDIAC CONNECTION HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZAINAB
Authorized Official - Middle Name:M
Authorized Official - Last Name:DUMBUYA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:804-839-7660
Mailing Address - Street 1:10109 KRAUSE RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-6501
Mailing Address - Country:US
Mailing Address - Phone:804-454-0854
Mailing Address - Fax:804-454-0855
Practice Address - Street 1:10109 KRAUSE RD
Practice Address - Street 2:SUITE 203
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832
Practice Address - Country:US
Practice Address - Phone:804-454-0854
Practice Address - Fax:804-454-0855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-30
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1013211358Medicaid
497695Medicare UPIN