Provider Demographics
NPI:1942856414
Name:CARINGHOMEHEALTHCARESERVICES
Entity Type:Organization
Organization Name:CARINGHOMEHEALTHCARESERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMILA
Authorized Official - Middle Name:
Authorized Official - Last Name:GHONGHADZE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:703-220-7535
Mailing Address - Street 1:918A S MONROE ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-4208
Mailing Address - Country:US
Mailing Address - Phone:703-220-7535
Mailing Address - Fax:751-481-4297
Practice Address - Street 1:918A S MONROE ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204-4208
Practice Address - Country:US
Practice Address - Phone:703-220-7535
Practice Address - Fax:571-481-4297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-12
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health