Healthcare Provider Details

I. General information

NPI: 1639461981
Provider Name (Legal Business Name): CARING ANGELS HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2011
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1939 ROLAND CLARKE PL STE 340
RESTON VA
20191-1445
US

IV. Provider business mailing address

PO BOX 37125
NEW YORK NY
10087-3501
US

V. Phone/Fax

Practice location:
  • Phone: 540-450-8680
  • Fax:
Mailing address:
  • Phone: 540-450-8680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHCO-11731
License Number StateVA

VIII. Authorized Official

Name: ANDREW QUINN
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 475-256-0871