Healthcare Provider Details

I. General information

NPI: 1104600436
Provider Name (Legal Business Name): GREENHILL HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2023
Last Update Date: 12/26/2024
Certification Date: 12/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13954 ANTONIA FORD CT
CENTREVILLE VA
20121-3568
US

IV. Provider business mailing address

1050 CONNECTICUT AVE NW STE 500
WASHINGTON DC
20036-5304
US

V. Phone/Fax

Practice location:
  • Phone: 703-279-6588
  • Fax: 703-279-6578
Mailing address:
  • Phone: 703-459-7682
  • Fax: 703-279-6578

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
# 3
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. GISELE ONGA NANA
Title or Position: DIRECTOR/CEO
Credential:
Phone: 703-459-7682