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
—
—
333300000X
Emergency Response System Companies
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
08/24/2021
Last updated
06/24/2023
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