Provider Demographics
NPI:1811075799
Name:HIGH PERFORMANCE SOLUTIONS INC
Entity type:Organization
Organization Name:HIGH PERFORMANCE SOLUTIONS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGLIOCCA
Authorized Official - Suffix:
Authorized Official - Credentials:PRESIDENT
Authorized Official - Phone:703-278-8683
Mailing Address - Street 1:6035 BURKE CENTRE PKWY
Mailing Address - Street 2:# 390
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015
Mailing Address - Country:US
Mailing Address - Phone:703-278-8683
Mailing Address - Fax:703-278-2924
Practice Address - Street 1:6035 BURKE CENTRE PKWY
Practice Address - Street 2:# 390
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015
Practice Address - Country:US
Practice Address - Phone:703-278-8683
Practice Address - Fax:703-278-2924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4509315Medicaid
CO32158866Medicaid
AZ787997Medicaid
PA1952691Medicaid
IA564724Medicaid
MS5506359Medicaid
VA9120874Medicaid
MS5506359Medicaid
IL=========2201501Medicaid
IA564724Medicaid