Provider Demographics
NPI:1851748412
Name:AAKESO HOMEHEALTH & WELLNESS INC
Entity Type:Organization
Organization Name:AAKESO HOMEHEALTH & WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MUDDASSIR
Authorized Official - Middle Name:
Authorized Official - Last Name:RIZWAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-989-0706
Mailing Address - Street 1:555 GROVE ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-4705
Mailing Address - Country:US
Mailing Address - Phone:703-989-0706
Mailing Address - Fax:
Practice Address - Street 1:555 GROVE ST
Practice Address - Street 2:SUITE 100
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-4705
Practice Address - Country:US
Practice Address - Phone:703-989-0706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-24
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO161351251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAHCO161351OtherVIRGINIA DEPARTMENT OF HEALTH