Healthcare Provider Details

I. General information

NPI: 1588184964
Provider Name (Legal Business Name): AROMA HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9307 MICHAEL CT
MANASSAS PARK VA
20111-8240
US

IV. Provider business mailing address

9307 MICHAEL CT
MANASSAS PARK VA
20111-8240
US

V. Phone/Fax

Practice location:
  • Phone: 571-409-9461
  • Fax: 703-257-0489
Mailing address:
  • Phone: 571-409-9461
  • Fax: 703-257-0489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC01710
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: NASRATU T SESAY
Title or Position: CEO
Credential:
Phone: 571-409-9461