Healthcare Provider Details

I. General information

NPI: 1366257511
Provider Name (Legal Business Name): GREAT DAYS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2025
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9990 FAIRFAX BLVD STE 560
FAIRFAX VA
22030-1743
US

IV. Provider business mailing address

9990 FAIRFAX BLVD STE 560
FAIRFAX VA
22030-1743
US

V. Phone/Fax

Practice location:
  • Phone: 202-615-9119
  • Fax:
Mailing address:
  • Phone: 202-615-9119
  • Fax: 571-386-4777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: SYED ALI SAJJAD ZAIDI
Title or Position: BUSINESS MANAGER
Credential:
Phone: 571-492-8599