Provider Demographics
NPI:1033456579
Name:LOUDOUN COUNTY HOME CARE
Entity Type:Organization
Organization Name:LOUDOUN COUNTY HOME CARE
Other - Org Name:HOME HELPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LIBAN
Authorized Official - Middle Name:B
Authorized Official - Last Name:SAMAKAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-340-4563
Mailing Address - Street 1:202 CHURCH ST SE STE 100
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20175-3006
Mailing Address - Country:US
Mailing Address - Phone:571-340-4563
Mailing Address - Fax:
Practice Address - Street 1:202 CHURCH ST SE STE 100
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175-3006
Practice Address - Country:US
Practice Address - Phone:571-340-4563
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-03
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-13913253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care