Healthcare Provider Details

I. General information

NPI: 1073485322
Provider Name (Legal Business Name): NOOR HOME HEALTH AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2025
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6722 EDSALL RD
SPRINGFIELD VA
22151-3733
US

IV. Provider business mailing address

6722 EDSALL RD
SPRINGFIELD VA
22151-3733
US

V. Phone/Fax

Practice location:
  • Phone: 571-278-5620
  • Fax: 571-533-1395
Mailing address:
  • Phone: 571-278-5620
  • Fax: 571-533-1395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. SOHEILA JANGJOO I
Title or Position: ADMINISTRATOR
Credential:
Phone: 571-278-5620