Healthcare Provider Details
I. General information
NPI: 1457813370
Provider Name (Legal Business Name): QUALITY HOMECARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/01/2019
Last Update Date: 05/01/2023
Certification Date: 05/01/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
QUALITY HOMECARE, LLC 6306 STRAWBRIDGE SQUARE DR
ALEXANDIRA VA
22312
US
IV. Provider business mailing address
6306 STRAWBRIDGE SQUARE DR
ALEXANDRIA VA
22312
US
V. Phone/Fax
- Phone: 202-810-5885
- Fax: 703-935-1166
- Phone: 202-810-5885
- Fax: 703-935-1166
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ARDO
HASHI
Title or Position: OWNER
Credential:
Phone: 202-650-1125