Provider Demographics
NPI:1952810897
Name:OAKHILL HOME HEALTH INC
Entity type:Organization
Organization Name:OAKHILL HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMA
Authorized Official - Middle Name:N
Authorized Official - Last Name:IMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-822-4456
Mailing Address - Street 1:1346 OLD BRIDGE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-2743
Mailing Address - Country:US
Mailing Address - Phone:703-822-4456
Mailing Address - Fax:703-935-8844
Practice Address - Street 1:1346 OLD BRIDGE RD STE 201
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-2743
Practice Address - Country:US
Practice Address - Phone:703-822-4456
Practice Address - Fax:703-935-8844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-22
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO1677251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAHCO-1677Medicaid