Koroma, Josephine

Koroma, Josephine is an sole proprietor health care provider with primary practice located at 13190 Centerpointe Way Ste 201 , Woodbridge VA 22193-5286. She recently has 6 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Agencies / Home Health, Nursing Service Related Providers / Nurse's Aide, Nursing Service Related Providers / Home Health Aide. Agencies / Home Health is her primary health care specialty. Koroma, Josephine can be contacted via phone (571) 774-2345.

Contact Information

Primary practice address
13190 Centerpointe Way Ste 201 Woodbridge VA 22193-5286
Phone: (571) 774-2345
Fax: (703) 490-1211
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 6170 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X HCO-0003038 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X HCO-0003038 Virginia
Agencies / Home Health 251E00000X HCO-0003038 Virginia
Nursing Service Related Providers / Nurse's Aide 376K00000X HCO-0003038 Virginia
Nursing Service Related Providers / Home Health Aide 374U00000X HCO-0003038 Virginia
Agencies / Home Health 251E00000X HCO-233038 Virginia

Profile Details

NPI number 1306500038
LBN Legal business name Koroma, Josephine
Credentials CEO/OWNER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2021
Last updated Sep 8th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306500038 NPPES
Virginia MEDICAID 1306500038

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