Provider Demographics
NPI:1205369998
Name:NAMS HOME HEALTHCARE
Entity Type:Organization
Organization Name:NAMS HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISRATER
Authorized Official - Prefix:
Authorized Official - First Name:MEAE
Authorized Official - Middle Name:
Authorized Official - Last Name:NAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-965-9526
Mailing Address - Street 1:6429 ASHBY GROVE LOOP
Mailing Address - Street 2:
Mailing Address - City:HAYMARKET
Mailing Address - State:VA
Mailing Address - Zip Code:20169-3211
Mailing Address - Country:US
Mailing Address - Phone:703-965-9526
Mailing Address - Fax:703-468-0016
Practice Address - Street 1:7608 HULL STREET RD
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-6402
Practice Address - Country:US
Practice Address - Phone:703-965-9526
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-10
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health