Provider Demographics
NPI:1730678657
Name:ATTENDA HOME CARE, LLC
Entity Type:Organization
Organization Name:ATTENDA HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LYUDMILA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-608-8838
Mailing Address - Street 1:1900 CAMPUS COMMONS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20191-1535
Mailing Address - Country:US
Mailing Address - Phone:703-608-8838
Mailing Address - Fax:703-646-0484
Practice Address - Street 1:1900 CAMPUS COMMONS DR STE 100
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20191-1535
Practice Address - Country:US
Practice Address - Phone:703-608-8838
Practice Address - Fax:703-646-0484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-07
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-181206253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care