Provider Demographics
NPI:1598858441
Name:PERFECTCAREHOMEHEALTHLLC
Entity Type:Organization
Organization Name:PERFECTCAREHOMEHEALTHLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNERADMINISSTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CIMWAYLLIA
Authorized Official - Middle Name:POLICIA
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-492-7227
Mailing Address - Street 1:14416 JEFFERSON DAVIS HWY
Mailing Address - Street 2:SUITE 7B
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-2801
Mailing Address - Country:US
Mailing Address - Phone:703-492-7227
Mailing Address - Fax:703-492-8686
Practice Address - Street 1:14416 JEFFERSON DAVIS HWY
Practice Address - Street 2:SUITE 7B
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-2801
Practice Address - Country:US
Practice Address - Phone:703-492-7227
Practice Address - Fax:703-492-8686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO07290251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health