Provider Demographics
NPI:1992273635
Name:AAA HOME CARE LLC
Entity type:Organization
Organization Name:AAA HOME CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIMA
Authorized Official - Middle Name:B
Authorized Official - Last Name:DEEN
Authorized Official - Suffix:
Authorized Official - Credentials:CMBCS
Authorized Official - Phone:571-217-8394
Mailing Address - Street 1:4609 PINECREST OFFICE PARK DR STE D
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22312-1442
Mailing Address - Country:US
Mailing Address - Phone:703-827-3757
Mailing Address - Fax:703-226-3328
Practice Address - Street 1:4609 PINECREST OFFICE PARK DR STE D
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-1442
Practice Address - Country:US
Practice Address - Phone:038-273-7577
Practice Address - Fax:703-226-3328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-12
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA620351863OtherNATIONAL HEALTHCAREER ASSOCIATION