Healthcare Provider Details

I. General information

NPI: 1538928346
Provider Name (Legal Business Name): A GREAT HOME CARE,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2024
Last Update Date: 08/29/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46897 EATON TER STE 20146897
STERLING VA
20164-1831
US

IV. Provider business mailing address

46897 EATON TER UNIT 201
STERLING VA
20164-1831
US

V. Phone/Fax

Practice location:
  • Phone: 571-722-0135
  • Fax: 703-940-0399
Mailing address:
  • Phone: 571-722-0135
  • Fax: 703-940-0399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health 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: RIMA KC
Title or Position: OWNER
Credential:
Phone: 571-722-0135