Provider Demographics
NPI:1982053583
Name:AMERICAN HOLISTIC HOME HEALTH CARE
Entity Type:Organization
Organization Name:AMERICAN HOLISTIC HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FADUMA
Authorized Official - Middle Name:MOHAMUD
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-946-7139
Mailing Address - Street 1:24808 STONE PILLAR DR
Mailing Address - Street 2:
Mailing Address - City:STONE RIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:20105-2954
Mailing Address - Country:US
Mailing Address - Phone:703-946-7139
Mailing Address - Fax:703-738-7955
Practice Address - Street 1:24808 STONE PILLAR DR
Practice Address - Street 2:
Practice Address - City:STONE RIDGE
Practice Address - State:VA
Practice Address - Zip Code:20105-2954
Practice Address - Country:US
Practice Address - Phone:703-946-7139
Practice Address - Fax:703-738-7955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-06
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO 161242251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health