Provider Demographics
NPI:1972149433
Name:MEZHER HEALTH CARE LLC
Entity Type:Organization
Organization Name:MEZHER HEALTH CARE LLC
Other - Org Name:OPTIONS FOR SENIOR AMERICA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEZHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-909-2333
Mailing Address - Street 1:13120 PEACH LEAF PL
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-8217
Mailing Address - Country:US
Mailing Address - Phone:703-909-2333
Mailing Address - Fax:571-921-4622
Practice Address - Street 1:10432 BALLS FORD RD STE 300
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-2517
Practice Address - Country:US
Practice Address - Phone:571-449-6781
Practice Address - Fax:571-921-4622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-20
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health