Elaborate Home Healthcare Services, LLC
Clinic/Center, Developmental Disabilities in Springfield, VA. Organization (NPI-2).
NPI number1629576947
StatusActive
Last updated in NPPESFeb 21, 2021
Details
- NPI
- 1629576947
- Entity type
- Organization (NPI-2)
- Legal business name
- Elaborate Home Healthcare Services, LLC
- Organization subpart
- No
- Enumeration date
- Feb 1, 2018
- Certification date
- Dec 8, 2020
- Last updated
- Feb 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD1600X | Clinic/Center, Developmental Disabilities | – | – | Yes |
| 253Z00000X | In Home Supportive Care | – | – |
Practice location
6413 Rivington RdSpringfield, VA 22152-2914
Phone 703-935-9442
Mailing address
6413 Rivington RdSpringfield, VA 22152-2914
Phone 202-294-8116
Other practice locations
5586 General Washington Dr Ste 2
Alexandria, VA 22312-2465
Alexandria, VA 22312-2465
Phone 215-594-9392 · Fax 215-594-9392
Authorized official
Katherine Eyegue-Sandy
Ceo/President
2155949392
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