Provider Demographics
NPI:1972959591
Name:R & J HOME HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:R & J HOME HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMPOMAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-494-1100
Mailing Address - Street 1:14798 BUILD AMERICA DR
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-3435
Mailing Address - Country:US
Mailing Address - Phone:571-477-3406
Mailing Address - Fax:
Practice Address - Street 1:14798 BUILD AMERICA DR
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-3435
Practice Address - Country:US
Practice Address - Phone:571-477-3406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-12
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA161414251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health