Healthcare Provider Details

I. General information

NPI: 1295602373
Provider Name (Legal Business Name): THE ASHEZ DME GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2025
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11166 FAIRFAX BLVD STE 500
FAIRFAX VA
22030-5017
US

IV. Provider business mailing address

5009 QUILLER CT
WOODBRIDGE VA
22193-4953
US

V. Phone/Fax

Practice location:
  • Phone: 703-672-3852
  • Fax: 571-316-1688
Mailing address:
  • Phone: 703-672-3852
  • Fax: 571-316-1688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: AISHA BURNEY
Title or Position: OWNER
Credential:
Phone: 703-672-3852