Provider Demographics
NPI:1588001150
Name:OPM GLOBAL, INC
Entity Type:Organization
Organization Name:OPM GLOBAL, INC
Other - Org Name:MALIJO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:KONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-338-8934
Mailing Address - Street 1:8009 DAFFODIL COURT
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-1056
Mailing Address - Country:US
Mailing Address - Phone:701-338-8934
Mailing Address - Fax:866-531-6484
Practice Address - Street 1:4160 CHAIN BRIDGE RD
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-4114
Practice Address - Country:US
Practice Address - Phone:571-422-1471
Practice Address - Fax:866-531-6484
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OPM GLOBAL, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-05-23
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing CareGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA253Z00000XOtherIN HOME SUPPORT CARE