Healthcare Provider Details

I. General information

NPI: 1518891936
Provider Name (Legal Business Name): MEDI HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21018 ROSTORMEL CT
ASHBURN VA
20147-4781
US

IV. Provider business mailing address

21018 ROSTORMEL CT
ASHBURN VA
20147-4781
US

V. Phone/Fax

Practice location:
  • Phone: 703-926-3009
  • Fax:
Mailing address:
  • Phone: 703-926-3009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MUHAMMAD DANISH
Title or Position: FOUNDER
Credential:
Phone: 703-926-3009