Healthcare Provider Details

I. General information

NPI: 1811811011
Provider Name (Legal Business Name): ADAGE HEALTHCARE SOLUTIONS VA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8280 WILLOW OAKS CORPORATE DR STE 649
FAIRFAX VA
22031-4518
US

IV. Provider business mailing address

8280 WILLOW OAKS CORPORATE DR STE 600
FAIRFAX VA
22031-4516
US

V. Phone/Fax

Practice location:
  • Phone: 240-206-8767
  • Fax: 240-245-3407
Mailing address:
  • Phone: 240-206-8767
  • Fax: 240-245-3407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: GRACE ADESANYA
Title or Position: ADMINISTRATOR
Credential:
Phone: 240-918-7548