Healthcare Provider Details

I. General information

NPI: 1962346346
Provider Name (Legal Business Name): HEART HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6820 COMMERCIAL DR SUITE D
SPRINGFIELD VA
22151-4201
US

IV. Provider business mailing address

6820 COMMERCIAL DR SUITE D
SPRINGFIELD VA
22151-4201
US

V. Phone/Fax

Practice location:
  • Phone: 571-683-6850
  • Fax: 571-833-1056
Mailing address:
  • Phone: 571-683-6850
  • Fax: 571-833-1056

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: HANAN ABU GHANNAM
Title or Position: DIRECTOR
Credential:
Phone: 571-683-6850