Provider Demographics
NPI:1356685424
Name:CONTINENTAL HOME HEALTH CARE
Entity Type:Organization
Organization Name:CONTINENTAL HOME HEALTH CARE
Other - Org Name:CONTINENTAL HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:IBRAHIM
Authorized Official - Last Name:ISSACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-530-7776
Mailing Address - Street 1:10757 AMBASSADOR DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-2522
Mailing Address - Country:US
Mailing Address - Phone:703-530-7776
Mailing Address - Fax:
Practice Address - Street 1:10757 AMBASSADOR DR
Practice Address - Street 2:SUITE 201
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-2522
Practice Address - Country:US
Practice Address - Phone:703-530-7776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health