Provider Demographics
NPI:1750820387
Name:A&B HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:A&B HOME HEALTH CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ADELAIDE
Authorized Official - Middle Name:DOKUA
Authorized Official - Last Name:BOOHENE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:703-899-0392
Mailing Address - Street 1:7880 BACKLICK ROAD
Mailing Address - Street 2:SUITE 5A
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150
Mailing Address - Country:US
Mailing Address - Phone:703-899-0392
Mailing Address - Fax:703-372-5290
Practice Address - Street 1:7880 BACKLICK ROAD
Practice Address - Street 2:SUITE 5A
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22150
Practice Address - Country:US
Practice Address - Phone:703-899-0392
Practice Address - Fax:703-372-5290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-15
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-171598385H00000X, 251E00000X
VA3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care
No251E00000XAgenciesHome HealthGroup - Multi-Specialty