Healthcare Provider Details

I. General information

NPI: 1619895729
Provider Name (Legal Business Name): THG HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1440 N EDGEWOOD ST STE 169
ARLINGTON VA
22201-7037
US

IV. Provider business mailing address

1440 N EDGEWOOD ST STE 169
ARLINGTON VA
22201-7037
US

V. Phone/Fax

Practice location:
  • Phone: 571-774-5551
  • Fax:
Mailing address:
  • Phone: 571-774-5551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DOMINIQUE FLYE
Title or Position: NURSING DIRECTOR
Credential: RN
Phone: 618-830-5174