Healthcare Provider Details

I. General information

NPI: 1316794878
Provider Name (Legal Business Name): MAAJTA SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2024
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8321 OLD COURTHOUSE RD STE 220
VIENNA VA
22182-3817
US

IV. Provider business mailing address

8321 OLD COURTHOUSE RD STE 220
VIENNA VA
22182-3817
US

V. Phone/Fax

Practice location:
  • Phone: 571-302-2243
  • Fax:
Mailing address:
  • Phone: 571-302-2243
  • Fax:

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 Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: EFE IGBIDE
Title or Position: OWNER
Credential:
Phone: 571-302-2243