Provider Demographics
NPI:1841757705
Name:GENUINE HOME HEALTHCARE
Entity Type:Organization
Organization Name:GENUINE HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:M
Authorized Official - Last Name:ABDILLAHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-229-8822
Mailing Address - Street 1:23035 DOUGLAS CT
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20166-2375
Mailing Address - Country:US
Mailing Address - Phone:703-229-8822
Mailing Address - Fax:571-417-7474
Practice Address - Street 1:23035 DOUGLAS CT
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-2375
Practice Address - Country:US
Practice Address - Phone:703-229-8822
Practice Address - Fax:571-417-7474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-27
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty