Healthcare Provider Details

I. General information

NPI: 1841757705
Provider Name (Legal Business Name): GENUINE HOME HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2019
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23035 DOUGLAS CT STE 218
STERLING VA
20166-9451
US

IV. Provider business mailing address

PO BOX 2785
LEESBURG VA
20177-7865
US

V. Phone/Fax

Practice location:
  • Phone: 703-955-5293
  • Fax: 571-646-4016
Mailing address:
  • Phone: 703-955-5293
  • Fax: 571-417-7474

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 Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MOHAMED M ABDILLAHI
Title or Position: ADMINISTRATOR
Credential:
Phone: 703-955-5293