Healthcare Provider Details

I. General information

NPI: 1528971355
Provider Name (Legal Business Name): A BREAKTHROUGH HEALTHCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7630 LITTLE RIVER TPKE STE 7205
ANNANDALE VA
22003-2643
US

IV. Provider business mailing address

11510 SUTHERLAND HILL WAY
SILVER SPRING MD
20904-4206
US

V. Phone/Fax

Practice location:
  • Phone: 571-342-6262
  • Fax: 571-450-0877
Mailing address:
  • Phone: 571-342-6262
  • Fax: 571-450-0877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: LIYA AREGA AYANA
Title or Position: ADMINISTRATOR/DIRECTOR OF NURSING
Credential: RN
Phone: 301-326-8958