Provider Demographics
NPI:1487173373
Name:AMICAL HOME HEALTH CARE INC
Entity type:Organization
Organization Name:AMICAL HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KINZ
Authorized Official - Middle Name:
Authorized Official - Last Name:RANGONI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-200-3342
Mailing Address - Street 1:701 W BROAD STREET, SUITE 213
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046
Mailing Address - Country:US
Mailing Address - Phone:703-200-3342
Mailing Address - Fax:
Practice Address - Street 1:701 W BROAD ST STE 213
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-3220
Practice Address - Country:US
Practice Address - Phone:703-200-3342
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA5902251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health