Healthcare Provider Details

I. General information

NPI: 1003395674
Provider Name (Legal Business Name): NG HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2018
Last Update Date: 06/26/2023
Certification Date: 06/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6936-A LITTLE RIVER TPKE
ANNANDALE VA
22003-3004
US

IV. Provider business mailing address

6936-A LITTLE RIVER TPKE
ANNANDALE VA
22003-3004
US

V. Phone/Fax

Practice location:
  • Phone: 703-256-1001
  • Fax: 703-256-2033
Mailing address:
  • Phone: 703-256-1001
  • Fax: 703-256-2033

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 Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. HELEN ELMAN
Title or Position: PRESIDENT
Credential:
Phone: 703-256-1001