Healthcare Provider Details

I. General information

NPI: 1437841657
Provider Name (Legal Business Name): ANIS HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2023
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9491 OAK FALLS CT
GREAT FALLS VA
22066-4143
US

IV. Provider business mailing address

9491 OAK FALLS CT
GREAT FALLS VA
22066-4143
US

V. Phone/Fax

Practice location:
  • Phone: 703-220-8012
  • Fax:
Mailing address:
  • Phone: 703-220-8012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. MARYAM GAROUSI
Title or Position: OWNER
Credential:
Phone: 703-220-8012