Healthcare Provider Details

I. General information

NPI: 1487405023
Provider Name (Legal Business Name): TRU EXPERT CARE HOMEHEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2024
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14048 BANEBERRY CIR
MANASSAS VA
20112-8856
US

IV. Provider business mailing address

14048 BANEBERRY CIR
MANASSAS VA
20112-8856
US

V. Phone/Fax

Practice location:
  • Phone: 703-473-6805
  • Fax: 895-297-6774
Mailing address:
  • Phone: 571-580-3070
  • Fax: 859-297-6774

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 Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: NOOR WAIS WALI
Title or Position: DON
Credential: NURSE
Phone: 703-473-6805