Healthcare Provider Details

I. General information

NPI: 1548177298
Provider Name (Legal Business Name): HI HOLA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7516 FULLERTON RD # UNITEF
SPRINGFIELD VA
22153-2812
US

IV. Provider business mailing address

5001 LINFIELD DR
WOODBRIDGE VA
22193-4505
US

V. Phone/Fax

Practice location:
  • Phone: 843-557-5273
  • Fax:
Mailing address:
  • Phone: 843-557-5273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: LAMIA ELHAG
Title or Position: OWNER
Credential:
Phone: 843-557-5273