Healthcare Provider Details

I. General information

NPI: 1689585028
Provider Name (Legal Business Name): BAILEYS HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6800 BACKLICK RD STE 303
SPRINGFIELD VA
22150-3069
US

IV. Provider business mailing address

6800 BACKLICK RD STE 303
SPRINGFIELD VA
22150-3069
US

V. Phone/Fax

Practice location:
  • Phone: 646-436-3430
  • Fax:
Mailing address:
  • Phone: 646-436-3430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: PAKHRUL ISLAM
Title or Position: ADMINISTRATOR
Credential:
Phone: 646-436-3430