Healthcare Provider Details

I. General information

NPI: 1417611062
Provider Name (Legal Business Name): AURORA HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2021
Last Update Date: 10/28/2021
Certification Date: 10/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 S WASHINGTON ST STE 308
FALLS CHURCH VA
22046-4020
US

IV. Provider business mailing address

900 S WASHINGTON ST STE 308
FALLS CHURCH VA
22046-4020
US

V. Phone/Fax

Practice location:
  • Phone: 571-320-9625
  • Fax:
Mailing address:
  • Phone: 571-320-9625
  • Fax:

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

VIII. Authorized Official

Name: SADIA ALI
Title or Position: OWNER
Credential:
Phone: 571-340-4471