Provider Demographics
NPI:1508164542
Name:CASCADES HOME HEALTH CARE
Entity Type:Organization
Organization Name:CASCADES HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SAID
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-953-2400
Mailing Address - Street 1:44081 PIPELINE PLZ
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-5891
Mailing Address - Country:US
Mailing Address - Phone:703-953-2400
Mailing Address - Fax:703-953-2303
Practice Address - Street 1:44081 PIPELINE PLZ
Practice Address - Street 2:SUITE 105
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-5891
Practice Address - Country:US
Practice Address - Phone:703-953-2400
Practice Address - Fax:703-953-2303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-28
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-11723385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0162881103Medicaid
VA0163071498Medicaid