Provider Demographics
NPI:1336532787
Name:DUBOLS INC.
Entity Type:Organization
Organization Name:DUBOLS INC.
Other - Org Name:DUBOLS HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:YEWANDE
Authorized Official - Middle Name:
Authorized Official - Last Name:AWOYEMI
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:703-312-1001
Mailing Address - Street 1:6066 LEESBURG PIKE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041-2234
Mailing Address - Country:US
Mailing Address - Phone:703-312-1001
Mailing Address - Fax:703-412-0828
Practice Address - Street 1:6066 LEESBURG PIKE
Practice Address - Street 2:SUITE 220
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041-2234
Practice Address - Country:US
Practice Address - Phone:703-312-1001
Practice Address - Fax:703-412-0828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-10
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-11604251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA497664Medicare Oscar/Certification