Provider Demographics
NPI:1932749405
Name:HUGHES HOME CARE, LLC
Entity Type:Organization
Organization Name:HUGHES HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-214-2039
Mailing Address - Street 1:11890 SUNRISE VALLEY DR STE 105
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20191-3302
Mailing Address - Country:US
Mailing Address - Phone:703-556-8983
Mailing Address - Fax:703-556-8985
Practice Address - Street 1:11890 SUNRISE VALLEY DR STE 105
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20191-3302
Practice Address - Country:US
Practice Address - Phone:703-556-8983
Practice Address - Fax:703-556-8985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-13
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care