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Organization
HOMEBASE HOME HEALTHCARE, LLC
Active
Organization
HOMEBASE HOME HEALTHCARE, LLC
Active
Other names
HomeBase Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS CORREA MBA (MANAGING MEMBER)
(703) 718-6455
Entity
Organization
Contact information
Practice address
10432 BALLS FORD RD STE 300, MANASSAS, VA 20109-2517
(703) 718-6455
Mailing address
7371 ATLAS WALK WAY STE 161, GAINESVILLE, VA 20155-2992
(703) 718-6455
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
NULL
333300000X
Emergency Response System Companies
—
NULL
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
385HR2065X
Child Physical Disabilities Respite Care
—
NULL
Other
Enumeration date
08/24/2021
Last updated
06/24/2023
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