Provider Demographics
NPI:1891555033
Name:ACADIA HOME CARE LLC
Entity Type:Organization
Organization Name:ACADIA HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KAYSAR
Authorized Official - Middle Name:
Authorized Official - Last Name:HIRAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-766-2552
Mailing Address - Street 1:46191 WESTLAKE DR # 19
Mailing Address - Street 2:
Mailing Address - City:POTOMAC FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:20165-5870
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:46191 WESTLAKE DR # 19
Practice Address - Street 2:
Practice Address - City:POTOMAC FALLS
Practice Address - State:VA
Practice Address - Zip Code:20165-5870
Practice Address - Country:US
Practice Address - Phone:202-766-2552
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-21
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care