Organization
DECENA HOME CARE, LLC
Active
Other names
DECENA HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PEPITO JIMENEZ DECENA JR. LPN (CEO ADMINISTRATOR)
(571) 508-7144
Entity
Organization
Contact information
Practice address
13800 COPPERMINE RD # 130, HERNDON, VA 20171-6163
(571) 508-7144
(571) 410-4085
Mailing address
13800 COPPERMINE RD # 130, HERNDON, VA 20171-6163
(571) 508-7144
(571) 410-4085
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/20/2020
Last updated
09/13/2024
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