Provider Demographics
NPI:1730278540
Name:HOME, INC
Entity Type:Organization
Organization Name:HOME, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROUSTAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ALIVERDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-519-8611
Mailing Address - Street 1:10613 FOREST LANDING WAY
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3935
Mailing Address - Country:US
Mailing Address - Phone:301-519-8611
Mailing Address - Fax:
Practice Address - Street 1:15 E DEER PARK DR
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-2000
Practice Address - Country:US
Practice Address - Phone:301-519-8611
Practice Address - Fax:301-519-8633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2115251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health