Healthcare Provider Details

I. General information

NPI: 1992226344
Provider Name (Legal Business Name): ARM BABY ELDERY HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2017
Last Update Date: 01/22/2026
Certification Date: 01/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13000 HARBOR CENTER DR # 312C
WOODBRIDGE VA
22192
US

IV. Provider business mailing address

18909 RED OAK LN
TRIANGLE VA
22172-2122
US

V. Phone/Fax

Practice location:
  • Phone: 804-729-9055
  • Fax: 888-752-5586
Mailing address:
  • Phone: 804-729-9055
  • Fax: 888-752-5586

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1741241
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CALEB RICHARD MWANJA
Title or Position: ADMINISTRATOR/OWNER
Credential:
Phone: 804-729-9055