Provider Demographics
NPI:1659732907
Name:SPRING HOME CARE CORPORATION
Entity Type:Organization
Organization Name:SPRING HOME CARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAKIBA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAKAMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-642-1000
Mailing Address - Street 1:6924 LITTLE RIVER TPKE STE C
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-3292
Mailing Address - Country:US
Mailing Address - Phone:703-642-1000
Mailing Address - Fax:
Practice Address - Street 1:6924 LITTLE RIVER TPKE STE C
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-3292
Practice Address - Country:US
Practice Address - Phone:703-642-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-15
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1559586385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care