Healthcare Provider Details

I. General information

NPI: 1164232112
Provider Name (Legal Business Name): SAHARA SEWA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2025
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14330 STONEWATER CT
CENTREVILLE VA
20121-5727
US

IV. Provider business mailing address

10300 EATON PL STE 440
FAIRFAX VA
22030-2239
US

V. Phone/Fax

Practice location:
  • Phone: 571-445-4840
  • Fax: 571-499-4340
Mailing address:
  • Phone: 571-445-4840
  • Fax: 571-499-4340

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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: PRAMOD POKHREL
Title or Position: FINANCE MANAGER
Credential: MANAGER
Phone: 330-701-1330