Healthcare Provider Details

I. General information

NPI: 1619792678
Provider Name (Legal Business Name): MAY-DANN HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2024
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 MAIN ST STE 234
WARRENTON VA
20186-3330
US

IV. Provider business mailing address

PO BOX 3314
WARRENTON VA
20188-1914
US

V. Phone/Fax

Practice location:
  • Phone: 540-341-0212
  • Fax:
Mailing address:
  • Phone: 540-341-0212
  • 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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MR. TIMOTHY CARVANA
Title or Position: PRINCIPAL
Credential:
Phone: 404-324-8412