Healthcare Provider Details

I. General information

NPI: 1558161380
Provider Name (Legal Business Name): FRIENDS HEALTH CARE TEAM DAYCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2025
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8003 FORBES PL STE 200
SPRINGFIELD VA
22151-2215
US

IV. Provider business mailing address

8003 FORBES PL STE 200
SPRINGFIELD VA
22151-2215
US

V. Phone/Fax

Practice location:
  • Phone: 571-251-1095
  • Fax: 571-350-8225
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: REBECCA CHO
Title or Position: ADMINISTRATOR
Credential: RN, MSN
Phone: 571-251-1095