Provider Demographics
NPI:1326526260
Name:SAFI HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:SAFI HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KANACHI
Authorized Official - Middle Name:V
Authorized Official - Last Name:COWIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-956-1448
Mailing Address - Street 1:5613 LEESBURG PIKE STE 42
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041-2912
Mailing Address - Country:US
Mailing Address - Phone:703-956-1448
Mailing Address - Fax:
Practice Address - Street 1:5613 LEESBURG PIKE STE 42
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041-2912
Practice Address - Country:US
Practice Address - Phone:703-956-1448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-02
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA8242994153Medicaid