MEDICARE: AMERICAN HEALTH HOME CARE GROUP, INC

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	497536	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	491561	OTHER	VA	HOSPICE

General Provider Information

NPI Number	:	1487659652
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN HEALTH HOME CARE GROUP, INC

Provider Business Mailing Address
First Line	:	975 MILLWOOD RD
Second Line	:
City	:	GREAT FALLS
State	:	VA
Zip	:	22066-2308
Country	:	US
Telephone Number	:	703-388-2813
Fax Number	:	703-388-2817

Provider Business Practice Location Address
First Line	:	7918 JONES BRANCH DR STE 400
Second Line	:
City	:	MC LEAN
State	:	VA
Zip	:	22102-3319
Country	:	US
Telephone Number	:	703-388-2813
Fax Number	:	703-388-2817

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MISS CLISHIA TAYLOR
Credential	:	RN, MBA
Telephone Number	:	703-388-2813

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	05/28/2026

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