# HOMEBASE HOME HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HomeBase Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568139871
- **Authorized official:** MR. THOMAS CORREA MBA (MANAGING MEMBER)
- **Authorized official phone:** (703) 718-6455

## Contact information

- **Practice address:** 10432 BALLS FORD RD STE 300, MANASSAS, VA 20109-2517
- **Practice address phone:** (703) 718-6455
- **Mailing address:** 7371 ATLAS WALK WAY STE 161, GAINESVILLE, VA 20155-2992
- **Mailing address phone:** (703) 718-6455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 333300000X | Emergency Response System Companies | — | NULL | — |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |
| 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