Healthcare Provider Details

I. General information

NPI: 1144195686
Provider Name (Legal Business Name): GEO HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 WESTPARK DR STE 450
MC LEAN VA
22102-3100
US

IV. Provider business mailing address

8000 WESTPARK DR STE 450
MC LEAN VA
22102-3100
US

V. Phone/Fax

Practice location:
  • Phone: 703-589-9009
  • Fax:
Mailing address:
  • Phone: 703-589-9009
  • 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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: GEORGE CHUBA
Title or Position: CEO
Credential:
Phone: 703-589-9009