Provider Demographics
NPI:1225857865
Name:PAL HOME CARE LLC
Entity type:Organization
Organization Name:PAL HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:PATIENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEPOSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-607-3713
Mailing Address - Street 1:1727 KING ST OFC 19
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-2700
Mailing Address - Country:US
Mailing Address - Phone:703-436-8269
Mailing Address - Fax:703-337-0508
Practice Address - Street 1:1727 KING ST OFC 19
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-2700
Practice Address - Country:US
Practice Address - Phone:703-436-8269
Practice Address - Fax:703-337-0508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-09
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty