Provider Demographics
NPI:1275092355
Name:ALOHA HOME HEALTHCARE SERVICES,LLC
Entity Type:Organization
Organization Name:ALOHA HOME HEALTHCARE SERVICES,LLC
Other - Org Name:ALOHA HOME HEALTHCARE SERVICES,LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HODAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-989-4469
Mailing Address - Street 1:522 RED RASPBERRY TER
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20175-5427
Mailing Address - Country:US
Mailing Address - Phone:601-807-8589
Mailing Address - Fax:
Practice Address - Street 1:3022 JAVIER RD STE 110B
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4646
Practice Address - Country:US
Practice Address - Phone:703-989-4469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-18
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health