Provider Demographics
NPI:1578062378
Name:HOME HEALTH OPTIONS GROUP
Entity Type:Organization
Organization Name:HOME HEALTH OPTIONS GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:DANIAL
Authorized Official - Last Name:TAUBKEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-622-3343
Mailing Address - Street 1:3955 PENDER DR STE 130
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-6091
Mailing Address - Country:US
Mailing Address - Phone:703-622-3343
Mailing Address - Fax:703-293-2932
Practice Address - Street 1:3955 PENDER DR STE 130
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-6091
Practice Address - Country:US
Practice Address - Phone:703-622-3343
Practice Address - Fax:703-293-2932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-07
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-18549251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health