Provider Demographics
NPI:1922486372
Name:FASSITY HOME CARE LLC
Entity Type:Organization
Organization Name:FASSITY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIATU
Authorized Official - Middle Name:
Authorized Official - Last Name:CONTEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-473-5563
Mailing Address - Street 1:6601 LITTLE RIVER TURN PIKE
Mailing Address - Street 2:SUIT 210
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22312
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:703-546-1715
Practice Address - Street 1:6601 LITTLE RIVER TURN PIKE
Practice Address - Street 2:SUIT 210
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312
Practice Address - Country:US
Practice Address - Phone:703-473-5563
Practice Address - Fax:703-546-1715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-18
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO 151274251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAHCO151274OtherVDH