Healthcare Provider Details

I. General information

NPI: 1669255030
Provider Name (Legal Business Name): CARE HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2023
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 OLD BRIDGE RD STE 200
WOODBRIDGE VA
22192-2484
US

IV. Provider business mailing address

2050 OLD BRIDGE RD STE 200
WOODBRIDGE VA
22192-2484
US

V. Phone/Fax

Practice location:
  • Phone: 202-967-5059
  • Fax:
Mailing address:
  • Phone: 202-967-5059
  • 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 Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: BILAL TARAKHAIL
Title or Position: OWNER
Credential:
Phone: 202-967-5059