| NPI | 1164252540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA GETANEH Administrator 571-267-0620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251T00000X PACE Provider Organization |
| 253Z00000X In Home Supportive Care | |
| 374700000X Technician | |
| 385H00000X Respite Care | |
| 374U00000X Home Health Aide | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 372600000X Adult Companion | |
| 251J00000X Nursing Care | |
| 174200000X Meals | |
| 3747P1801X Technician, Personal Care Attendant | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| 332U00000X Home Delivered Meals | |
| 372500000X Chore Provider | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2025-10-21 |