Healthcare Provider Details

I. General information

NPI: 1083523153
Provider Name (Legal Business Name): MIRENA HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8219 LEESBURG PIKE STE 608
VIENNA VA
22182-2625
US

IV. Provider business mailing address

8219 LEESBURG PIKE STE 608
VIENNA VA
22182-2625
US

V. Phone/Fax

Practice location:
  • Phone: 703-870-9547
  • Fax: 571-933-9121
Mailing address:
  • Phone: 703-870-9547
  • Fax: 571-933-9121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: HELLEN NUWAGABA
Title or Position: CEO
Credential: BSC
Phone: 703-870-9547