Provider Demographics
NPI:1922683689
Name:HEARTSTRINGS HOME HEALTH CARE CO.
Entity type:Organization
Organization Name:HEARTSTRINGS HOME HEALTH CARE CO.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/AO
Authorized Official - Prefix:
Authorized Official - First Name:SHAMSA
Authorized Official - Middle Name:
Authorized Official - Last Name:IBRAHIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-689-1605
Mailing Address - Street 1:8609 WESTWOOD CENTER DR STE 110
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-7525
Mailing Address - Country:US
Mailing Address - Phone:703-689-1605
Mailing Address - Fax:703-933-8887
Practice Address - Street 1:8609 WESTWOOD CENTER DR STE 110
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-7525
Practice Address - Country:US
Practice Address - Phone:703-689-1605
Practice Address - Fax:703-933-2223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-15
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty