Provider Demographics
NPI:1881025492
Name:CANAAN CARE SERVICES, LLC
Entity Type:Organization
Organization Name:CANAAN CARE SERVICES, LLC
Other - Org Name:LOUDOUN HOME CARE, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VIVIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:ATCHOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-297-8425
Mailing Address - Street 1:211 S KING ST
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20175-2905
Mailing Address - Country:US
Mailing Address - Phone:703-297-8425
Mailing Address - Fax:703-348-7510
Practice Address - Street 1:211 S KING ST
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175-2905
Practice Address - Country:US
Practice Address - Phone:703-297-8425
Practice Address - Fax:703-348-7510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-07
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care