Healthcare Provider Details

I. General information

NPI: 1336954288
Provider Name (Legal Business Name): CARING HOME HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2025
Last Update Date: 02/10/2025
Certification Date: 02/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42065 FOLEY HEADWATERS ST
ALDIE VA
20105-2650
US

IV. Provider business mailing address

42065 FOLEY HEADWATERS ST
ALDIE VA
20105-2650
US

V. Phone/Fax

Practice location:
  • Phone: 703-327-2040
  • Fax: 703-442-7538
Mailing address:
  • Phone: 703-327-2040
  • Fax: 703-442-7538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2055X
TaxonomyChild Mental Illness Respite Care
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: HAYAT KHALIFA
Title or Position: OWNER
Credential:
Phone: 703-327-2040