MEDICARE: HEARTHSTONE CARE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency
2	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1265251573
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTHSTONE CARE SERVICES

Provider Business Mailing Address
First Line	:	7777 LEESBURG PIKE STE 408N
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22043-2415
Country	:	US
Telephone Number	:	202-813-8333
Fax Number	:

Provider Business Practice Location Address
First Line	:	7777 LEESBURG PIKE STE 408N
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22043-2415
Country	:	US
Telephone Number	:	202-813-8333
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BAYDAN MOHAMED NURIE
Credential	:
Telephone Number	:	202-813-8333

Provider Enumeration Date	:	10/04/2024
Last Update Date	:	03/15/2025

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Directions to “HEARTHSTONE CARE SERVICES ” Practice Location

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