Provider Demographics
NPI:1477159457
Name:ARLINGTON ELDERCARE, LLC
Entity Type:Organization
Organization Name:ARLINGTON ELDERCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:J
Authorized Official - Last Name:HENDEL
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:703-698-2431
Mailing Address - Street 1:4201 WILSON BLVD # 110-139
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-4417
Mailing Address - Country:US
Mailing Address - Phone:703-622-2284
Mailing Address - Fax:703-940-1346
Practice Address - Street 1:227 N EVERGREEN ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1225
Practice Address - Country:US
Practice Address - Phone:703-622-2884
Practice Address - Fax:703-940-1346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-07
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty