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General NPI Number Information
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NPI Number | 1245170190
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Entity Type | Organization
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Legal Business Name | CENTER OF CARE LLC
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 13550 HEATHCOTE BLVD APT 355
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City | GAINESVILLE
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State | VA
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Zip | 20155-6688
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Country | US
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Telephone | 812-223-6487
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Fax |
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Provider Business Mailing Address
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Address Line | 10391 DYLAN PL
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City | MANASSAS
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State | VA
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Zip | 20109-6400
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FELICIEN I NTABAZA
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Credential |
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Telephone | 812-223-6487
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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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