Healthcare Provider Details

I. General information

NPI: 1649877309
Provider Name (Legal Business Name): VISITING HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2020
Last Update Date: 01/24/2024
Certification Date: 01/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7450 RIDING MEADOW WAY
MANASSAS VA
20111-1981
US

IV. Provider business mailing address

7450 RIDING MEADOW WAY
MANASSAS VA
20111-1981
US

V. Phone/Fax

Practice location:
  • Phone: 703-994-7478
  • Fax:
Mailing address:
  • Phone: 703-994-7478
  • Fax:

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 Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MARJAN F DARAB
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 703-994-7478