Provider Demographics
NPI:1972944569
Name:HOMECARE SERVICES OF ARLINGTON, INC
Entity Type:Organization
Organization Name:HOMECARE SERVICES OF ARLINGTON, INC
Other - Org Name:HOMECARE SERVICES OF ARLINGTON, INC
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR/OWNER/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:EUGENIA
Authorized Official - Middle Name:O
Authorized Official - Last Name:MEACHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-589-8956
Mailing Address - Street 1:1021 ARLINGTON BLVD
Mailing Address - Street 2:E-616
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22209-3926
Mailing Address - Country:US
Mailing Address - Phone:703-528-5102
Mailing Address - Fax:703-783-8493
Practice Address - Street 1:1021 ARLINGTON BLVD # E616
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22209-3926
Practice Address - Country:US
Practice Address - Phone:703-528-5102
Practice Address - Fax:703-783-8493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-11
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHC0-12771251B00000X, 253Z00000X
VAHCO-12771251E00000X, 305S00000X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No253Z00000XAgenciesIn Home Supportive Care
No305S00000XManaged Care OrganizationsPoint of Service
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1609029446Medicaid