Healthcare Provider Details

I. General information

NPI: 1114754306
Provider Name (Legal Business Name): SINGH HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2024
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18995 COREOPSIS TER
LEESBURG VA
20176-8463
US

IV. Provider business mailing address

18995 COREOPSIS TER
LEESBURG VA
20176-8463
US

V. Phone/Fax

Practice location:
  • Phone: 571-525-0181
  • Fax: 571-492-9350
Mailing address:
  • Phone: 571-525-0181
  • Fax: 571-492-9350

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 Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. HARDIP K SIDHU
Title or Position: OWNER/ALT ADMIN
Credential:
Phone: 571-525-0181