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Organization
BLUESTAR HOME HEALTH CARE LLC
Active
Organization
BLUESTAR HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISMAHAN AHMED RN (ADMINISTRATOR)
(703) 829-0719
Entity
Organization
Contact information
Practice address
5613 LEESBURG PIKE STE 55, FALLS CHURCH, VA 22041-2912
(703) 829-0719
(703) 646-7558
Mailing address
5613 LEESBURG PIKE STE 55, FALLS CHURCH, VA 22041-2912
(703) 829-0719
(703) 646-7558
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
171347
VA
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
171347
VA
253Z00000X
In Home Supportive Care Agency
171347
VA
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171347
VA DEPARTMENT OF HEALTH
VA
05
—
1962894717
—
VA
Enumeration date
03/02/2015
Last updated
03/17/2018
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