Provider Demographics
NPI:1407496243
Name:FALCON HOME HEALTHCARE AGENCY
Entity Type:Organization
Organization Name:FALCON HOME HEALTHCARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LEROY
Authorized Official - Middle Name:L
Authorized Official - Last Name:ALEXANDER-BENONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-281-9544
Mailing Address - Street 1:8855 ANNAPOLIS RD STE 205
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2942
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8855 ANNAPOLIS RD STE 205
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2942
Practice Address - Country:US
Practice Address - Phone:240-281-9544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-09
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health