Organization
CONNECT HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HEIKAL IBRAHIM KENNEDED (ADMINISTRATOR)
(703) 920-1212
Entity
Organization
Contact information
Practice address
6066 LEESBURG PIKE, STE 200C, FALLS CHURCH, VA 22041-2234
(703) 920-1212
(703) 920-1215
Mailing address
6066 LEESBURG PIKE, STE. 200C, FALLS CHURCH, VA 22041-2234
(703) 920-1212
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO 13453
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCO 13453
COMMON WEALTH VIRGINIA DEPARTMENT OF HEALTH
VA
Enumeration date
05/02/2008
Last updated
11/17/2016
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