Provider Demographics
NPI:1639546229
Name:1 ON 1 AT HOME CARE, LLC
Entity Type:Organization
Organization Name:1 ON 1 AT HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRARTOR
Authorized Official - Prefix:
Authorized Official - First Name:ABDIRAHIM
Authorized Official - Middle Name:GELLE
Authorized Official - Last Name:HUSSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-817-0203
Mailing Address - Street 1:8409 DORSEY CIRCLE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-8305
Mailing Address - Country:US
Mailing Address - Phone:703-361-5843
Mailing Address - Fax:703-935-3000
Practice Address - Street 1:8409 DORSEY CIRCLE
Practice Address - Street 2:SUITE 201
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-8305
Practice Address - Country:US
Practice Address - Phone:703-361-5843
Practice Address - Fax:703-935-3000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-31
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management