Provider Demographics
NPI:1689908881
Name:BEST LIFE HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:BEST LIFE HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:BURTON
Authorized Official - Last Name:GRAVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-431-6904
Mailing Address - Street 1:3219 COLUMBIA PIKE STE 300B
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-4358
Mailing Address - Country:US
Mailing Address - Phone:571-431-6904
Mailing Address - Fax:571-431-6903
Practice Address - Street 1:3219 COLUMBIA PIKE STE 300B
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204-4358
Practice Address - Country:US
Practice Address - Phone:571-431-6904
Practice Address - Fax:571-431-6903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-22
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health