Healthcare Provider Details

I. General information

NPI: 1407217441
Provider Name (Legal Business Name): GOOD HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2016
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 E HOLLY AVE STE 214
STERLING VA
20164-3137
US

IV. Provider business mailing address

207 E HOLLY AVE STE 214
STERLING VA
20164-3137
US

V. Phone/Fax

Practice location:
  • Phone: 703-477-1281
  • Fax: 571-313-8207
Mailing address:
  • Phone: 703-477-1281
  • Fax: 571-313-8207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateOH

VIII. Authorized Official

Name: JASWINDER KAUR
Title or Position: ADMINISTRATOR
Credential:
Phone: 703-477-1281