Provider Demographics
NPI:1275384612
Name:A HEALTH CARE
Entity Type:Organization
Organization Name:A HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TESFA
Authorized Official - Middle Name:J
Authorized Official - Last Name:MEKONNEN
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:571-388-0988
Mailing Address - Street 1:6715 LITTLE RIVER TRPK
Mailing Address - Street 2:301A
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003
Mailing Address - Country:US
Mailing Address - Phone:571-388-0988
Mailing Address - Fax:
Practice Address - Street 1:6715 LITTLE RIVER TRPK
Practice Address - Street 2:301A
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003
Practice Address - Country:US
Practice Address - Phone:571-388-0988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health