Provider Demographics
NPI:1801030390
Name:HANDS OF MERCY
Entity type:Organization
Organization Name:HANDS OF MERCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FADUMA
Authorized Official - Middle Name:OMAR
Authorized Official - Last Name:HUSSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-338-2684
Mailing Address - Street 1:3536 CARLIN SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041-3003
Mailing Address - Country:US
Mailing Address - Phone:703-635-3306
Mailing Address - Fax:
Practice Address - Street 1:3536 CARLIN SPRINGS RD
Practice Address - Street 2:N6
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041-3003
Practice Address - Country:US
Practice Address - Phone:703-635-3306
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-28
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-09564251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health