Healthcare Provider Details

I. General information

NPI: 1790689255
Provider Name (Legal Business Name): FEEL GOOD AT HOME HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4156 AGENCY LOOP
TRIANGLE VA
22172-1763
US

IV. Provider business mailing address

4156 AGENCY LOOP
TRIANGLE VA
22172-1763
US

V. Phone/Fax

Practice location:
  • Phone: 703-705-7540
  • Fax: 703-649-6004
Mailing address:
  • Phone: 703-705-7540
  • Fax: 703-649-6004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: FAUSTINA DUUT
Title or Position: DIRECTOR
Credential:
Phone: 917-631-6182