Provider Demographics
NPI:1164083788
Name:HELENVIC HOME CARE, LLC
Entity Type:Organization
Organization Name:HELENVIC HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NAMDIOGOU
Authorized Official - Middle Name:
Authorized Official - Last Name:NAGOU
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:240-464-5866
Mailing Address - Street 1:6395 BETTY LINTON LN
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21703-7358
Mailing Address - Country:US
Mailing Address - Phone:240-464-5866
Mailing Address - Fax:301-740-6422
Practice Address - Street 1:6395 BETTY LINTON LN
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21703-7358
Practice Address - Country:US
Practice Address - Phone:240-464-5866
Practice Address - Fax:301-740-6422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-25
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health