Provider Demographics
NPI:1164726311
Name:HELPING HANDS HOMECARE SERVICES OF NORTHERN VIRGINIA
Entity Type:Organization
Organization Name:HELPING HANDS HOMECARE SERVICES OF NORTHERN VIRGINIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:JOHNSON BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:RN,
Authorized Official - Phone:877-489-1538
Mailing Address - Street 1:14142 MINNIEVILLE RD STE 207
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-2344
Mailing Address - Country:US
Mailing Address - Phone:877-489-1538
Mailing Address - Fax:877-637-4630
Practice Address - Street 1:14142 MINNIEVILLE RD STE 207
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-2344
Practice Address - Country:US
Practice Address - Phone:877-489-1538
Practice Address - Fax:877-637-4630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-03
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO11707251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAHCO11707OtherHOME CARE ORGANIZATION