Provider Demographics
NPI:1902345382
Name:BEGONIA HOME HEALTH
Entity Type:Organization
Organization Name:BEGONIA HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:NAMINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-593-1690
Mailing Address - Street 1:6040 RICHMOND HWY
Mailing Address - Street 2:SUITE 512
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22303-2156
Mailing Address - Country:US
Mailing Address - Phone:919-593-1690
Mailing Address - Fax:703-563-0571
Practice Address - Street 1:6601 LITTLE RIVER TPKE
Practice Address - Street 2:STE 240
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-1303
Practice Address - Country:US
Practice Address - Phone:703-944-0644
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-17
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health