Provider Demographics
NPI:1972962587
Name:1ST OPTION HOME HEALTH,LLC
Entity type:Organization
Organization Name:1ST OPTION HOME HEALTH,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ABENA
Authorized Official - Middle Name:
Authorized Official - Last Name:OWUSU-SEKYERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-659-9205
Mailing Address - Street 1:13190 CENTERPOINTE WAY
Mailing Address - Street 2:STE 202
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-5286
Mailing Address - Country:US
Mailing Address - Phone:703-659-9205
Mailing Address - Fax:703-831-0582
Practice Address - Street 1:13190 CENTERPOINTE WAY
Practice Address - Street 2:STE 202
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-5286
Practice Address - Country:US
Practice Address - Phone:703-659-9205
Practice Address - Fax:703-831-0582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-11
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHC0-161399251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health