Healthcare Provider Details

I. General information

NPI: 1093415051
Provider Name (Legal Business Name): CARING COMPANION HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2023
Last Update Date: 09/12/2023
Certification Date: 09/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7777 LEESBURG PIKE STE 402N
FALLS CHURCH VA
22043-2403
US

IV. Provider business mailing address

7777 LEESBURG PIKE STE 402N
FALLS CHURCH VA
22043-2403
US

V. Phone/Fax

Practice location:
  • Phone: 703-743-4345
  • Fax: 703-215-1844
Mailing address:
  • Phone: 703-743-4345
  • Fax: 703-215-1844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2055X
TaxonomyChild Mental Illness Respite Care
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: HUSSEIN ABDI
Title or Position: ADMINISTRATOR
Credential:
Phone: 703-743-4345