Provider Demographics
NPI:1992277040
Name:APPLIED HOME HEALTH SOLUTIONS LLC
Entity type:Organization
Organization Name:APPLIED HOME HEALTH SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KINGSMOND
Authorized Official - Middle Name:SARFO
Authorized Official - Last Name:AMANKWAAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-249-6880
Mailing Address - Street 1:7671 SHEFFIELD VILLAGE LN
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-1718
Mailing Address - Country:US
Mailing Address - Phone:571-249-6880
Mailing Address - Fax:
Practice Address - Street 1:1986 OPITZ BLVD
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-3304
Practice Address - Country:US
Practice Address - Phone:571-249-6880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-28
Last Update Date:2018-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health