Provider Demographics
NPI:1154078731
Name:RITECARE HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:RITECARE HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:N
Authorized Official - Last Name:IDUMA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:703-278-8076
Mailing Address - Street 1:9420 PARK HUNT CT
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22153-1351
Mailing Address - Country:US
Mailing Address - Phone:703-278-8076
Mailing Address - Fax:
Practice Address - Street 1:9420 PARK HUNT CT
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22153-1351
Practice Address - Country:US
Practice Address - Phone:703-278-8076
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
No385HR2050XRespite Care FacilityRespite CareRespite Care CampGroup - Multi-Specialty