Provider Demographics
NPI:1609272616
Name:LEADER HOME HEALTH CARE CORP.
Entity Type:Organization
Organization Name:LEADER HOME HEALTH CARE CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THU
Authorized Official - Middle Name:ANH
Authorized Official - Last Name:BUI
Authorized Official - Suffix:
Authorized Official - Credentials:DOCTOR OF PHARMACY
Authorized Official - Phone:703-862-9282
Mailing Address - Street 1:9501 DANIEL FRENCH ST
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-2352
Mailing Address - Country:US
Mailing Address - Phone:703-862-9282
Mailing Address - Fax:703-237-0613
Practice Address - Street 1:9501 DANIEL FRENCH ST
Practice Address - Street 2:
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-2352
Practice Address - Country:US
Practice Address - Phone:703-237-2182
Practice Address - Fax:703-237-0613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-18
Last Update Date:2014-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA07846876OtherSTATE CORPORATION COMMISSION CORPORATION ID