Provider Demographics
NPI:1104480789
Name:DORIS HOME CARE LLC
Entity type:Organization
Organization Name:DORIS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHOLEH
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSHREFI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-599-6572
Mailing Address - Street 1:35757 PLATINUM DR
Mailing Address - Street 2:
Mailing Address - City:ROUND HILL
Mailing Address - State:VA
Mailing Address - Zip Code:20141-3523
Mailing Address - Country:US
Mailing Address - Phone:703-599-6572
Mailing Address - Fax:
Practice Address - Street 1:35757 PLATINUM DR
Practice Address - Street 2:
Practice Address - City:ROUND HILL
Practice Address - State:VA
Practice Address - Zip Code:20141-3523
Practice Address - Country:US
Practice Address - Phone:703-599-6572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-29
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health