Provider Demographics
NPI:1689979148
Name:SAFINA HOME HEALTH LLC
Entity Type:Organization
Organization Name:SAFINA HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARETH
Authorized Official - Middle Name:
Authorized Official - Last Name:WEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-884-9132
Mailing Address - Street 1:14906 DENNINGTON DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-3275
Mailing Address - Country:US
Mailing Address - Phone:703-884-9132
Mailing Address - Fax:
Practice Address - Street 1:6381 LITTLE RIVER TPKE
Practice Address - Street 2:SUITE # 5
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-5002
Practice Address - Country:US
Practice Address - Phone:703-884-9132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-14
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR147844251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health