Provider Demographics
NPI:1609019298
Name:BESTLIFE HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:BESTLIFE HEALTHCARE SERVICES
Other - Org Name:BESTLIFE HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:CLINTON
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:703-370-7728
Mailing Address - Street 1:205 S WHITING ST
Mailing Address - Street 2:608
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-7100
Mailing Address - Country:US
Mailing Address - Phone:703-370-0813
Mailing Address - Fax:703-370-3360
Practice Address - Street 1:205 S WHITING ST
Practice Address - Street 2:608
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-7100
Practice Address - Country:US
Practice Address - Phone:703-370-0813
Practice Address - Fax:703-370-3360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-12
Last Update Date:2009-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA46885-01251300000X, 251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251300000XAgenciesLocal Education Agency (LEA)
No253Z00000XAgenciesIn Home Supportive Care