Healthcare Provider Details

I. General information

NPI: 1437855129
Provider Name (Legal Business Name): CARE WITH DIGNITY HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2023
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8023 STEADMAN ST.
ALEXANDRIA VA
22309-1120
US

IV. Provider business mailing address

8023 STEADMAN ST.
ALEXANDRIA VA
22309-1120
US

V. Phone/Fax

Practice location:
  • Phone: 602-400-6973
  • Fax: 571-473-5549
Mailing address:
  • Phone: 602-400-6973
  • Fax: 571-473-5549

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 Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: BERHANE C WOLDEYOHANNES
Title or Position: ADMINISTRATOR
Credential:
Phone: 602-400-6973