Healthcare Provider Details

I. General information

NPI: 1548175565
Provider Name (Legal Business Name): CLOSED360 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8205 ASPEN GLEN CT
ALEXANDRIA VA
22309-1238
US

IV. Provider business mailing address

8205 ASPEN GLEN CT
ALEXANDRIA VA
22309-1238
US

V. Phone/Fax

Practice location:
  • Phone: 760-405-8637
  • Fax: 760-405-8637
Mailing address:
  • Phone: 760-405-8637
  • Fax: 760-405-8637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: SHUMAILA HUSSAIN
Title or Position: PRESIDENT
Credential:
Phone: 760-405-8637