Provider Demographics
NPI:1366731184
Name:HOME HEALTH CONNECTION, INC.
Entity type:Organization
Organization Name:HOME HEALTH CONNECTION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAHIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:MAFI
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:301-718-0112
Mailing Address - Street 1:PO BOX 31105
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20824-1105
Mailing Address - Country:US
Mailing Address - Phone:301-718-0112
Mailing Address - Fax:
Practice Address - Street 1:400 E PRATT ST
Practice Address - Street 2:SUITE 832
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-3116
Practice Address - Country:US
Practice Address - Phone:410-525-9300
Practice Address - Fax:410-525-0596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-01
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR1136251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4081145-01Medicaid