Healthcare Provider Details

I. General information

NPI: 1497116172
Provider Name (Legal Business Name): ALLAY HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2016
Last Update Date: 10/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 RANDOLPH ST
FALLS CHURCH VA
22046-2811
US

IV. Provider business mailing address

804 RANDOLPH ST
FALLS CHURCH VA
22046-2811
US

V. Phone/Fax

Practice location:
  • Phone: 571-766-8298
  • Fax:
Mailing address:
  • Phone: 571-766-8298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHCO-161389
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License NumberHCO-171389
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License NumberHCO-171389
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code374700000X
TaxonomyTechnician
License NumberHCO-171389
License Number StateVA
# 5
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License NumberHCO-171389
License Number StateVA
# 6
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License NumberHCO-171389
License Number StateVA
# 7
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License NumberHCO-171389
License Number StateVA
# 8
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHCO-171389
License Number StateVA
# 9
Primary TaxonomyN
Taxonomy Code376G00000X
TaxonomyNursing Home Administrator
License NumberHCO-171389
License Number StateVA
# 10
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License NumberHCO-171389
License Number StateVA
# 11
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberHCO-171389
License Number StateVA
# 12
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberHCO-171389
License Number StateVA
# 13
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License NumberHCO-171389
License Number StateVA

VIII. Authorized Official

Name: HARDEEP GILL
Title or Position: PRESIDENT
Credential:
Phone: 571-766-8298