Healthcare Provider Details

I. General information

NPI: 1154115137
Provider Name (Legal Business Name): RAYYAN HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7601 LITTLE RIVER TPKE # 307
ANNANDALE VA
22003-2644
US

IV. Provider business mailing address

7601 LITTLE RIVER TPKE # 307
ANNANDALE VA
22003-2644
US

V. Phone/Fax

Practice location:
  • Phone: 703-898-5090
  • Fax: 703-712-8055
Mailing address:
  • Phone: 703-898-5090
  • Fax: 703-712-8055

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 Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: SULAKHA MOHAMED ABDI
Title or Position: ADMINISTRATOR
Credential:
Phone: 703-898-5090