Provider Demographics
NPI:1255681722
Name:DOMINION HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:DOMINION HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAUDHRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-533-3060
Mailing Address - Street 1:7297 LEE HWY STE R
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-1707
Mailing Address - Country:US
Mailing Address - Phone:703-533-3060
Mailing Address - Fax:703-533-3061
Practice Address - Street 1:7297 LEE HWY STE R
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-1707
Practice Address - Country:US
Practice Address - Phone:703-533-3060
Practice Address - Fax:703-533-3061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health