OCTOBER VENTURES LLC NPI 1336487537

NPI Details

OCTOBER VENTURES LLC is a home health in Dumfries, VA. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. OCTOBER VENTURES LLC NPI is 1336487537. The provider is registered as an organization entity type.
The provider Is Doing Business As Optimumcare Home Care Servces.

The provider's business location address is:

3683 FETTLER PARK DR
DUMFRIES, VA
ZIP 22025-049
Phone: (703) 490-8003
Fax: (703) 995-4585

The provider's authorized official is Anim Addo Sampong .
The authorized official title is Owner and has the following contact phone number (703) 490-8003.

The CLIA number assigned to this NPI record is 49D2117002 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/22/2013 and was last updated on 6/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: