Provider Demographics
NPI:1952703514
Name:WASHINGTON HOME CARE INC
Entity Type:Organization
Organization Name:WASHINGTON HOME CARE INC
Other - Org Name:WASHINGTON HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MI KYUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-850-1100
Mailing Address - Street 1:5300 SHAWNEE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22312-2311
Mailing Address - Country:US
Mailing Address - Phone:703-850-1100
Mailing Address - Fax:703-354-4580
Practice Address - Street 1:5300 SHAWNEE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-2311
Practice Address - Country:US
Practice Address - Phone:703-850-1100
Practice Address - Fax:703-354-4580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-25
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO151216251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health