Healthcare Provider Details

I. General information

NPI: 1659179109
Provider Name (Legal Business Name): NOVA HOME CARE AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2025
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8251 SINGLELEAF LN
LORTON VA
22079-5635
US

IV. Provider business mailing address

8251 SINGLELEAF LN
LORTON VA
22079-5635
US

V. Phone/Fax

Practice location:
  • Phone: 571-337-8843
  • Fax:
Mailing address:
  • Phone: 571-337-8843
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385HR2050X
TaxonomyRespite Care Camp
License Number
License Number State

VIII. Authorized Official

Name: MS. RAZIA MOHAMAD HASHEM
Title or Position: ADMINISTRATOR
Credential:
Phone: 571-337-8843