Provider Demographics
NPI:1407249808
Name:GAINESVILLE HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:GAINESVILLE HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SADIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEIKHDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-753-6259
Mailing Address - Street 1:7043 LITTLE THAMES DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-4010
Mailing Address - Country:US
Mailing Address - Phone:703-753-6259
Mailing Address - Fax:703-988-2598
Practice Address - Street 1:7043 LITTLE THAMES DR
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-4010
Practice Address - Country:US
Practice Address - Phone:703-753-6259
Practice Address - Fax:703-988-2598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-09
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-151132251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health