Healthcare Provider Details

I. General information

NPI: 1164382271
Provider Name (Legal Business Name): ALLIA HOME HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14067 ARIS CT
WOODBRIDGE VA
22193-3346
US

IV. Provider business mailing address

14067 ARIS CT
WOODBRIDGE VA
22193-3346
US

V. Phone/Fax

Practice location:
  • Phone: 571-552-1597
  • Fax: 855-975-2772
Mailing address:
  • Phone: 571-552-1597
  • Fax: 855-975-2772

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 Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2055X
TaxonomyChild Mental Illness Respite Care
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: MIRWAIS NASARI
Title or Position: ADMIN
Credential:
Phone: 571-552-1597