Healthcare Provider Details

I. General information

NPI: 1295316644
Provider Name (Legal Business Name): IQRA HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2021
Last Update Date: 04/17/2021
Certification Date: 04/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7263 MAPLE PL STE 106
ANNANDALE VA
22003-3004
US

IV. Provider business mailing address

7263 MAPLE PL STE 106
ANNANDALE VA
22003-3004
US

V. Phone/Fax

Practice location:
  • Phone: 703-209-7261
  • Fax: 844-651-8214
Mailing address:
  • Phone: 703-209-7261
  • Fax: 844-651-8214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: IKRAH AHMED
Title or Position: OWNER
Credential:
Phone: 703-209-7261