Provider Demographics
NPI:1134772387
Name:IN-HOME HEALTHCARE AGENCY LLC
Entity type:Organization
Organization Name:IN-HOME HEALTHCARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FARAHNAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:ASSEFNIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-313-1130
Mailing Address - Street 1:46460 MONTGOMERY PL
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-7317
Mailing Address - Country:US
Mailing Address - Phone:571-313-1130
Mailing Address - Fax:
Practice Address - Street 1:46460 MONTGOMERY PL
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-7317
Practice Address - Country:US
Practice Address - Phone:571-313-1130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-17
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health