Provider Demographics
NPI:1518397603
Name:AROMA HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:AROMA HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RODA
Authorized Official - Middle Name:HASSAN
Authorized Official - Last Name:MOHAMUD
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:703-919-3687
Mailing Address - Street 1:8216 CALM POND CT
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20111-2343
Mailing Address - Country:US
Mailing Address - Phone:703-919-3687
Mailing Address - Fax:703-562-7711
Practice Address - Street 1:8216 CALM POND CT
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20111-2343
Practice Address - Country:US
Practice Address - Phone:703-919-3687
Practice Address - Fax:703-562-7711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-26
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-141070251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA=========OtherCOMMONWEALTH OF VIRGINIA / VIRGINIA DEPORTMENT OF HEALTH