Provider Demographics
NPI:1912548637
Name:PATIENT CENTERED HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:PATIENT CENTERED HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:VANDY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:571-232-0216
Mailing Address - Street 1:4231 DUKE ST STE B
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-2485
Mailing Address - Country:US
Mailing Address - Phone:571-317-7981
Mailing Address - Fax:571-858-5247
Practice Address - Street 1:4231 DUKE ST STE B
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-2485
Practice Address - Country:US
Practice Address - Phone:571-317-7981
Practice Address - Fax:571-858-5247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-03
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health