Healthcare Provider Details

I. General information

NPI: 1851139794
Provider Name (Legal Business Name): ZEGA HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2024
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8120 CLIFFVIEW AVENUE
SPRINGFIELD VA
22153-2620
US

IV. Provider business mailing address

8120 CLIFFVIEW AVENUE
SPRINGFIELD VA
22153-2620
US

V. Phone/Fax

Practice location:
  • Phone: 571-501-1800
  • Fax:
Mailing address:
  • Phone: 571-501-1800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: DEREJE H GERAWORK
Title or Position: PARTNER / CFO
Credential:
Phone: 571-501-1800