Organization · NPI-2

1 On 1 At Home Care, LLC

Home Health · Manassas, VA

NPI number1639546229
StatusActive
Last updated in NPPESSep 10, 2020

Details

NPI
1639546229
Entity type
Organization (NPI-2)
Legal business name
1 On 1 At Home Care, LLC
Organization subpart
No
Enumeration date
Aug 31, 2015
Certification date
Sep 10, 2020
Last updated
Sep 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes
251B00000X Case Management––

Practice location

8409 Dorsey Circle
Suite 201
Manassas, VA 20110-8305

Phone 703-361-5843 · Fax 703-935-3000

Mailing address

8409 Dorsey Circle
Suite 201
Manassas, VA 20110-8305

Phone 703-361-5843 · Fax 703-935-3000

Authorized official

Abdirahim Gelle Hussein
Administrartor
7038170203

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