Provider Demographics
NPI:1265825699
Name:UNCLE SAM'S HOME CARE
Entity type:Organization
Organization Name:UNCLE SAM'S HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SALIM
Authorized Official - Middle Name:
Authorized Official - Last Name:SAYEGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-980-5511
Mailing Address - Street 1:3223 VALLEY PIKE
Mailing Address - Street 2:SUITE #3
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22602
Mailing Address - Country:US
Mailing Address - Phone:703-980-5511
Mailing Address - Fax:540-535-2083
Practice Address - Street 1:3223 VALLEY PIKE
Practice Address - Street 2:SUITE #3
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22602-5399
Practice Address - Country:US
Practice Address - Phone:703-980-5511
Practice Address - Fax:540-535-2083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-10
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA023800302F00000X
253Z00000X, 385H00000X, 251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No302F00000XManaged Care OrganizationsExclusive Provider Organization
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care