Healthcare Provider Details

I. General information

NPI: 1487659652
Provider Name (Legal Business Name): AMERICAN HEALTH HOME CARE GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2005
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7918 JONES BRANCH DR STE 400
MC LEAN VA
22102-3319
US

IV. Provider business mailing address

975 MILLWOOD RD
GREAT FALLS VA
22066-2308
US

V. Phone/Fax

Practice location:
  • Phone: 703-388-2813
  • Fax: 703-388-2817
Mailing address:
  • Phone: 703-388-2813
  • Fax: 703-388-2817

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number497536
License Number StateVA

VIII. Authorized Official

Name: MISS CLISHIA TAYLOR
Title or Position: ADMINISTRATOR
Credential: RN, MBA
Phone: 703-388-2813