# ELABORATE HOME HEALTHCARE SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629576947
- **Authorized official:** KATHERINE EYEGUE-SANDY DNP, APRN, CRNP (CEO/PRESIDENT)
- **Authorized official phone:** (215) 594-9392

## Contact information

- **Practice address:** 6413 RIVINGTON RD, SPRINGFIELD, VA 22152-2914
- **Practice address phone:** (703) 935-9442
- **Mailing address:** 6413 RIVINGTON RD, SPRINGFIELD, VA 22152-2914
- **Mailing address phone:** (202) 294-8116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/01/2018
- **Last updated:** 02/21/2021