Provider Demographics
NPI:1104859339
Name:NATIONAL HOME HEALTHCARE, INC.
Entity Type:Organization
Organization Name:NATIONAL HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOO
Authorized Official - Prefix:MS
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:
Authorized Official - Last Name:TALEBIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-787-3060
Mailing Address - Street 1:459 HERNDON PKWY
Mailing Address - Street 2:SUITE 17
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-6220
Mailing Address - Country:US
Mailing Address - Phone:703-787-3060
Mailing Address - Fax:703-787-3065
Practice Address - Street 1:459 HERNDON PKWY
Practice Address - Street 2:SUITE 17
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-6220
Practice Address - Country:US
Practice Address - Phone:703-787-3060
Practice Address - Fax:703-787-3065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04-223251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA10223461OtherAMERIGROUP
VA010073286Medicaid
VA010073286Medicaid
VA10223461OtherAMERIGROUP