Provider Demographics
NPI:1023317211
Name:CAREFIRST HOMECARE LLC
Entity type:Organization
Organization Name:CAREFIRST HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:MESERET
Authorized Official - Middle Name:
Authorized Official - Last Name:TAMENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-347-6110
Mailing Address - Street 1:6201 LEESBURG PIKE
Mailing Address - Street 2:SUITE 402
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-2201
Mailing Address - Country:US
Mailing Address - Phone:703-347-6110
Mailing Address - Fax:703-533-3037
Practice Address - Street 1:6201 LEESBURG PIKE
Practice Address - Street 2:SUITE 402
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044-2201
Practice Address - Country:US
Practice Address - Phone:703-347-6110
Practice Address - Fax:703-533-3037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-28
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0170291691Medicaid
VA0170291428Medicaid