Provider Demographics
NPI:1417432188
Name:SNOW WHITE HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:SNOW WHITE HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:HARISH
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:SAHAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-918-4619
Mailing Address - Street 1:4229 LAFAYETTE CENTER DR STE 1750
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20151-1269
Mailing Address - Country:US
Mailing Address - Phone:571-212-3506
Mailing Address - Fax:703-738-7729
Practice Address - Street 1:4229 LAFAYETTE CENTER DR STE 1750
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20151-1269
Practice Address - Country:US
Practice Address - Phone:571-212-3506
Practice Address - Fax:703-738-7729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-28
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Single Specialty