Healthcare Provider Details

I. General information

NPI: 1881504652
Provider Name (Legal Business Name): EVERVITA CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13800 COPPERMINE RD STE 352
HERNDON VA
20171-6163
US

IV. Provider business mailing address

46391 NEWFIELD PL
STERLING VA
20165-6435
US

V. Phone/Fax

Practice location:
  • Phone: 571-599-8005
  • Fax:
Mailing address:
  • Phone: 571-599-8005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: HIBA ALJUMAAH
Title or Position: OWNER
Credential:
Phone: 571-599-8005