Healthcare Provider Details
I. General information
NPI: 1851211684
Provider Name (Legal Business Name): GREATER HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3705 S GEORGE MASON DR
FALLS CHURCH VA
22041-3759
US
IV. Provider business mailing address
4980 LEESBURG PIKE APT 606
ALEXANDRIA VA
22302-1114
US
V. Phone/Fax
- Phone: 703-963-3930
- Fax:
- Phone: 703-963-3930
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
YUSRAH
SANKOH
Title or Position: OWNER
Credential:
Phone: 571-691-0177