Provider Demographics
NPI:1699925842
Name:THERAPEUTIC ALLIANCE HOME HEALTH SERVICES INC
Entity type:Organization
Organization Name:THERAPEUTIC ALLIANCE HOME HEALTH SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:Y
Authorized Official - Last Name:GETAHUN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:703-299-9068
Mailing Address - Street 1:PO BOX 23230
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-9323
Mailing Address - Country:US
Mailing Address - Phone:703-299-9068
Mailing Address - Fax:703-299-9067
Practice Address - Street 1:5252 CHEROKEE AVE
Practice Address - Street 2:SUITE 220
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-2000
Practice Address - Country:US
Practice Address - Phone:703-299-9068
Practice Address - Fax:703-299-9067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-24
Last Update Date:2011-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-09514251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health