Provider Demographics
NPI:1659976710
Name:TCHAYA HEALTH CARE SERVICES, INC
Entity Type:Organization
Organization Name:TCHAYA HEALTH CARE SERVICES, INC
Other - Org Name:TCHAYA HEALTH CARE SERVICES, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:QDDP
Authorized Official - Prefix:
Authorized Official - First Name:ENSTEIN
Authorized Official - Middle Name:
Authorized Official - Last Name:JOMENI KAHAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-877-3000
Mailing Address - Street 1:10560 MAIN ST STE 403
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-7174
Mailing Address - Country:US
Mailing Address - Phone:703-877-3000
Mailing Address - Fax:703-877-2114
Practice Address - Street 1:10560 MAIN ST STE 403
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-7174
Practice Address - Country:US
Practice Address - Phone:703-877-3000
Practice Address - Fax:703-877-2114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-04
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care