Provider Demographics
NPI:1013390475
Name:RIVERBEND HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:RIVERBEND HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:FATHIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:WARSAME
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:703-688-4102
Mailing Address - Street 1:13013 BANKFOOT CT
Mailing Address - Street 2:
Mailing Address - City:OAK HILL
Mailing Address - State:VA
Mailing Address - Zip Code:20171-2300
Mailing Address - Country:US
Mailing Address - Phone:703-688-4102
Mailing Address - Fax:
Practice Address - Street 1:13013 BANKFOOT CT
Practice Address - Street 2:
Practice Address - City:OAK HILL
Practice Address - State:VA
Practice Address - Zip Code:20171-2300
Practice Address - Country:US
Practice Address - Phone:703-688-4102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-02
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health