Provider Demographics
NPI:1518490655
Name:PRIORITY HOME HEALTHCARE, INC.
Entity Type:Organization
Organization Name:PRIORITY HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:ASARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-265-9962
Mailing Address - Street 1:8332 RICHMOND HWY
Mailing Address - Street 2:SUITE 210
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22309-2341
Mailing Address - Country:US
Mailing Address - Phone:703-253-3191
Mailing Address - Fax:703-253-3191
Practice Address - Street 1:8332 RICHMOND HWY
Practice Address - Street 2:SUITE 210
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22309-2341
Practice Address - Country:US
Practice Address - Phone:703-253-3191
Practice Address - Fax:703-253-3191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-05
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-171610385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care