Healthcare Provider Details

I. General information

NPI: 1568299360
Provider Name (Legal Business Name): NEWDAY HOMECARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2024
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16860 BRANDY MOOR LOOP
WOODBRIDGE VA
22191-4759
US

IV. Provider business mailing address

16860 BRANDY MOOR LOOP
WOODBRIDGE VA
22191-4759
US

V. Phone/Fax

Practice location:
  • Phone: 571-406-4004
  • Fax:
Mailing address:
  • Phone: 571-406-4004
  • 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 Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: BEREKET HAILU
Title or Position: ADAMINISTRATOR
Credential:
Phone: 703-987-8580