Healthcare Provider Details

I. General information

NPI: 1760234207
Provider Name (Legal Business Name): WE CARE PROVIDERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2024
Last Update Date: 07/11/2024
Certification Date: 07/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5290 SHAWNEE RD # 200
ALEXANDRIA VA
22312-2381
US

IV. Provider business mailing address

5290 SHAWNEE RD STE 103
ALEXANDRIA VA
22312-2381
US

V. Phone/Fax

Practice location:
  • Phone: 703-259-7278
  • Fax:
Mailing address:
  • Phone: 703-869-2763
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MARIYAH TRAMMELL
Title or Position: CEO
Credential:
Phone: 703-869-2763