Provider Demographics
NPI:1164205944
Name:DESHI HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:DESHI HOME HEALTH CARE, LLC
Other - Org Name:DESHI HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AKM
Authorized Official - Middle Name:KAMAL
Authorized Official - Last Name:UDDIN
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:571-436-8622
Mailing Address - Street 1:13076 MONTEREY ESTATES DRIVE
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171-2637
Mailing Address - Country:US
Mailing Address - Phone:571-436-8622
Mailing Address - Fax:571-410-0224
Practice Address - Street 1:13076 MONTEREY ESTATES DRIVE
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20171-2637
Practice Address - Country:US
Practice Address - Phone:571-436-8622
Practice Address - Fax:571-410-0224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-16
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health