Healthcare Provider Details

I. General information

NPI: 1568045268
Provider Name (Legal Business Name): ARIANA HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2021
Last Update Date: 05/05/2021
Certification Date: 05/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 KINGSLEY RD SW
VIENNA VA
22180-6444
US

IV. Provider business mailing address

509 KINGSLEY RD SW
VIENNA VA
22180-6444
US

V. Phone/Fax

Practice location:
  • Phone: 703-906-2664
  • Fax: 703-991-0840
Mailing address:
  • Phone: 703-906-2664
  • Fax: 703-991-0840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ALI SARSHAR
Title or Position: OWNER
Credential:
Phone: 703-906-2664