Provider Demographics
NPI:1447683370
Name:VIRGINIA HOME CARE CONNECTION, INC.
Entity type:Organization
Organization Name:VIRGINIA HOME CARE CONNECTION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ABDIRAHIM
Authorized Official - Middle Name:GELLE
Authorized Official - Last Name:HUSSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-817-0203
Mailing Address - Street 1:8409 DORSEY CIRCLE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-8305
Mailing Address - Country:US
Mailing Address - Phone:703-817-0203
Mailing Address - Fax:703-439-0203
Practice Address - Street 1:8409 DORSEY CIRCLE
Practice Address - Street 2:SUITE 201
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-8305
Practice Address - Country:US
Practice Address - Phone:703-817-0203
Practice Address - Fax:703-439-0203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-14
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1447683370Medicaid