Provider Demographics
NPI:1881473031
Name:HOMEAID SERVICES OF AMERICA LLC
Entity type:Organization
Organization Name:HOMEAID SERVICES OF AMERICA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MAHMOUD
Authorized Official - Middle Name:
Authorized Official - Last Name:DIALLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-600-8228
Mailing Address - Street 1:4701 KENMORE AVE APT 819
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-1221
Mailing Address - Country:US
Mailing Address - Phone:305-600-8228
Mailing Address - Fax:
Practice Address - Street 1:4701 KENMORE AVE APT 819
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-1221
Practice Address - Country:US
Practice Address - Phone:305-600-8228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care