Provider Demographics
NPI:1871813659
Name:BESTCARE HOME CARE INC
Entity type:Organization
Organization Name:BESTCARE HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EBENEZER
Authorized Official - Middle Name:
Authorized Official - Last Name:ASANTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-497-2273
Mailing Address - Street 1:2070 OLD BRIDGE RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-2495
Mailing Address - Country:US
Mailing Address - Phone:703-497-2273
Mailing Address - Fax:703-372-3259
Practice Address - Street 1:2070 OLD BRIDGE RD
Practice Address - Street 2:SUITE 202
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-2495
Practice Address - Country:US
Practice Address - Phone:703-497-2273
Practice Address - Fax:703-372-3259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-03
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1871813659Medicaid
VA497668Medicare Oscar/Certification