MEDICARE: MUTUAL HOME CARE LLC

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1700718640
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUTUAL HOME CARE LLC

Provider Business Mailing Address
First Line	:	7828 MOUNT WOODLEY PL
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22306-3160
Country	:	US
Telephone Number	:	571-622-9496
Fax Number	:

Provider Business Practice Location Address
First Line	:	7828 MOUNT WOODLEY PL
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22306-3160
Country	:	US
Telephone Number	:	571-622-9496
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JANG NAJMI
Credential	:
Telephone Number	:	571-622-9496

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “MUTUAL HOME CARE LLC ” Practice Location

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