Provider Demographics
NPI:1538928346
Name:A GREAT HOME CARE,LLC
Entity type:Organization
Organization Name:A GREAT HOME CARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:KC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-722-0135
Mailing Address - Street 1:3615 CHAIN BRIDGE RD STE C
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-3237
Mailing Address - Country:US
Mailing Address - Phone:571-722-0135
Mailing Address - Fax:703-940-0399
Practice Address - Street 1:3615 CHAIN BRIDGE RD STE C
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-3237
Practice Address - Country:US
Practice Address - Phone:571-722-0135
Practice Address - Fax:703-940-0399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health