Healthcare Provider Details

I. General information

NPI: 1235060732
Provider Name (Legal Business Name): NYAVA HEALTHCARE & IN HOME SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 ROCKLEDGE VIEW WAY APT 107
WOODBRIDGE VA
22191-4382
US

IV. Provider business mailing address

1100 ROCKLEDGE VIEW WAY APT 107
WOODBRIDGE VA
22191-4382
US

V. Phone/Fax

Practice location:
  • Phone: 571-343-9870
  • Fax:
Mailing address:
  • Phone: 571-343-9870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: FATHIA MOIJUEH
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 571-343-9870