Provider Demographics
NPI:1609842301
Name:HOME HEALTH CONNECTION, INC.
Entity Type:Organization
Organization Name:HOME HEALTH CONNECTION, INC.
Other - Org Name:HOME HEALTH CONNECTION, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAHIN
Authorized Official - Middle Name:DOKHT
Authorized Official - Last Name:MAFI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-792-3420
Mailing Address - Street 1:PO BOX 31105
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20824-1105
Mailing Address - Country:US
Mailing Address - Phone:301-718-0112
Mailing Address - Fax:301-718-7857
Practice Address - Street 1:4340 E WEST HWY STE 1150
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4578
Practice Address - Country:US
Practice Address - Phone:301-718-0112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-23
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDHH1999251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD408114500Medicaid