Healthcare Provider Details

I. General information

NPI: 1578467452
Provider Name (Legal Business Name): AMIN HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 EISENHOWER AVE STE 251
ALEXANDRIA VA
22314-4698
US

IV. Provider business mailing address

11455 CHERRY HILL RD APT 301
BELTSVILLE MD
20705-3608
US

V. Phone/Fax

Practice location:
  • Phone: 240-353-1256
  • Fax:
Mailing address:
  • Phone: 240-353-1256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: EMMACULATE ANYI
Title or Position: CEO / EXECUTIVE DIRECTOR
Credential: RN
Phone: 240-353-1256