Healthcare Provider Details

I. General information

NPI: 1760333421
Provider Name (Legal Business Name): NINE EYES HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 W BROAD ST STE 210
FALLS CHURCH VA
22046-3325
US

IV. Provider business mailing address

1390 CHAIN BRIDGE RD STE 6962
MC LEAN VA
22101-3904
US

V. Phone/Fax

Practice location:
  • Phone: 703-249-2390
  • Fax: 571-295-8825
Mailing address:
  • Phone: 703-249-2390
  • Fax: 571-295-8825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: ARANYA GHATAK
Title or Position: CO-OWNER
Credential:
Phone: 646-479-6847