Provider Demographics
NPI:1922278282
Name:SHEKINAH CARE AGENCY LLC
Entity Type:Organization
Organization Name:SHEKINAH CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:MISS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:OWUSU
Authorized Official - Last Name:BEMPAH
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:703-869-8849
Mailing Address - Street 1:2213 DILORETA DRIVE
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191
Mailing Address - Country:US
Mailing Address - Phone:703-869-8849
Mailing Address - Fax:703-491-5357
Practice Address - Street 1:2213 DILORETA DRIVE
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191
Practice Address - Country:US
Practice Address - Phone:703-869-8849
Practice Address - Fax:703-491-5357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-03
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health