MR. VICTOR L MUKASA (NPI# 1588143630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588143630 |
| Entity Type | Individual |
| Full Name | MR. VICTOR L MUKASA |
| Credential | CP |
| Practice Address |
13000 Harbor Center Dr Ste 312 Woodbridge VA 22192-2847 |
| Mailing Address |
18824 Bent Willow Cir Apt 324 Germantown MD 20874-7323 |
| Practice Telephone | 2024312602 |
| Mailing Telephone | 2024312602 |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| Street Address |
13000 HARBOR CENTER DR STE 312 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-2847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659979813 | Alpha Health Home Services | Home Health Aide | 15297 Grist Mill Ter, Woodbridge, VA 22191-3801 | 2020-10-10 |
| 1730724675 | Jeannine Alexander Wilkins | Home Health Aide | 12288 Granada Way, Woodbridge, VA 22192-6234 | 2019-11-14 |
| 1679116271 | Christelle Isambo | Home Health Aide | 15125 Cardin Pl, Woodbridge, VA 22193-5338 | 2019-10-26 |
| 1033752449 | 1st You Healthcare Professionals, LLC | Home Health Aide | 13512 Minnieville Rd Ste 260, Woodbridge, VA 22192-4208 | 2019-10-18 |
| 1225685464 | Contenna Williams | Home Health Aide | 15248 Barnabas Trl, Woodbridge, VA 22193-5570 | 2019-08-22 |
| 1336604669 | Barbara Vargas | Home Health Aide | 4936 Brightleaf Ct, Woodbridge, VA 22193-3208 | 2019-01-31 |
| 1639644529 | Crissy Kibic | Home Health Aide | 14507 Crossfield Way, Woodbridge, VA 22191-4028 | 2018-10-08 |
| 1356824890 | Elizabeth Bonghor Bangura | Home Health Aide | 1940 Gableridge Turn, Woodbridge, VA 22191-1972 | 2018-09-11 |
| 1932692662 | Theresa Davis Lyon | Home Health Aide | 4308a Ridgewood Center Dr, Woodbridge, VA 22192-5307 | 2018-06-07 |
| 1114417904 | Raihanatu W Kamara | Home Health Aide | 13902 Mathews Dr, Woodbridge, VA 22191-2409 | 2018-05-16 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
Please comment or provide details below to improve the information on MR. VICTOR L MUKASA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.