Provider Demographics
NPI:1588362461
Name:MULTITUDE HOME HEALTHCARE INC
Entity type:Organization
Organization Name:MULTITUDE HOME HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OYEBUSOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:OWORU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-851-7131
Mailing Address - Street 1:8320 OLD COURTHOUSE RD STE 500
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3869
Mailing Address - Country:US
Mailing Address - Phone:877-851-7131
Mailing Address - Fax:703-688-2201
Practice Address - Street 1:8320 OLD COURTHOUSE RD STE 500
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-3869
Practice Address - Country:US
Practice Address - Phone:877-851-7131
Practice Address - Fax:703-688-2201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-20
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAHCO-253227Medicaid