Jasmine Home Care LLC
Technician, Attendant Care Provider in Springfield, VA. Organization (NPI-2).
NPI number1083445019
StatusActive
Last updated in NPPESAug 12, 2024
Details
- NPI
- 1083445019
- Entity type
- Organization (NPI-2)
- Legal business name
- Jasmine Home Care LLC
- Organization subpart
- No
- Enumeration date
- Aug 12, 2024
- Certification date
- Aug 12, 2024
- Last updated
- Aug 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
| 372500000X | Chore Provider | – | – | |
| 3747P1801X | Technician, Personal Care Attendant | – | – | |
| 385H00000X | Respite Care | – | – |
Practice location
7097 Game Lord DrSpringfield, VA 22153-1312
Phone 703-457-0552
Mailing address
7097 Game Lord DrSpringfield, VA 22153-1312
Authorized official
Mehnaz Khan
Owner/Ceo
7034570552
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