Healthcare Provider Details

I. General information

NPI: 1588576094
Provider Name (Legal Business Name): DIANNE LOVING CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6168 DEER RIDGE TRL
SPRINGFIELD VA
22150-1033
US

IV. Provider business mailing address

6168 DEER RIDGE TRL
SPRINGFIELD VA
22150-1033
US

V. Phone/Fax

Practice location:
  • Phone: 703-867-7078
  • Fax: 888-729-0505
Mailing address:
  • Phone: 703-867-7078
  • Fax: 888-729-0505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BRENDA MORALES DERMITH
Title or Position: CEO
Credential:
Phone: 703-867-7078