Healthcare Provider Details

I. General information

NPI: 1801547229
Provider Name (Legal Business Name): D HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2022
Last Update Date: 11/26/2024
Certification Date: 11/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14530 KENTISH FIRE ST
GAINESVILLE VA
20155-4011
US

IV. Provider business mailing address

14530 KENTISH FIRE ST
GAINESVILLE VA
20155-4011
US

V. Phone/Fax

Practice location:
  • Phone: 571-518-8671
  • Fax:
Mailing address:
  • Phone: 571-518-8671
  • 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 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: OLIVIA DJOBLE
Title or Position: OWNER/MANAGING PARTNER
Credential:
Phone: 571-250-9453