Provider Demographics
NPI:1255732806
Name:COMMCENTRIX HOME CARE SERVICES, INC
Entity type:Organization
Organization Name:COMMCENTRIX HOME CARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TAWAKALITU
Authorized Official - Middle Name:
Authorized Official - Last Name:KOMOLAFE - AKIREMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-431-7682
Mailing Address - Street 1:3219 COLUMBIA PIKE STE 200
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-4357
Mailing Address - Country:US
Mailing Address - Phone:571-431-7682
Mailing Address - Fax:
Practice Address - Street 1:3219 COLUMBIA PIKE STE 200
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204-4357
Practice Address - Country:US
Practice Address - Phone:571-431-7682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-12
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health