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General NPI Number Information
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NPI Number | 1215547260
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Entity Type | Organization
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Legal Business Name | ICARE HOME HEALTH CARE SERVICES LLC
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Dates
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Enumeration Date | 08/05/2020
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 6102 MANCHESTER PARK CIR
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City | ALEXANDRIA
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State | VA
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Zip | 22310-4948
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Country | US
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Telephone | 571-642-5156
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Fax | 571-642-5456
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Provider Business Mailing Address
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Address Line | 6102 MANCHESTER PARK CIR
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City | ALEXANDRIA
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State | VA
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Zip | 22310-4948
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Country | US
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Telephone | 571-642-5156
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Fax | 571-642-5456
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Authorized Official
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Title or Position | OWNER/ PRESIDENT
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Name | MARYAM SANGA
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Credential |
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Telephone | 571-642-5156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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