Healthcare Provider Details

I. General information

NPI: 1538084199
Provider Name (Legal Business Name): ENHANCED COMMUNITY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5077 HAZEL FERGUSON DR
FAIRFAX VA
22030-6552
US

IV. Provider business mailing address

8700 CENTREVILLE RD STE 8696
MANASSAS VA
20110-8430
US

V. Phone/Fax

Practice location:
  • Phone: 703-286-9878
  • Fax:
Mailing address:
  • Phone: 703-286-9878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: ABDUL MATEEN YOUSUFZAI
Title or Position: DIRECTOR
Credential:
Phone: 703-286-9878