Healthcare Provider Details

I. General information

NPI: 1043180060
Provider Name (Legal Business Name): WELLNEST HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

4184 WHITLOW PL
CHANTILLY VA
20151-2975
US

IV. Provider business mailing address

4184 WHITLOW PL
CHANTILLY VA
20151-2975
US

V. Phone/Fax

Practice location:
  • Phone: 571-309-1044
  • Fax:
Mailing address:
  • Phone: 571-309-1044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ARAGSAN AHMED
Title or Position: ADMINSTRATOR
Credential:
Phone: 571-309-1044