# ANGEL SENIOR HOME CARE, LLC-MCLEAN

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ANGE LSENIOR HOME CARE, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053863381
- **Legal business name:** ANGE LSENIOR HOME CARE, LLC
- **Authorized official:** MR. JAI D KOHLI (PRESIDENT)
- **Authorized official phone:** (571) 216-4727

## Contact information

- **Practice address:** 6723 WHITTIER AVE STE 204, MC LEAN, VA 22101-4544
- **Practice address phone:** (571) 216-4727
- **Practice address fax:** (703) 971-3931
- **Mailing address:** 6723 WHITTIER AVE STE 204, MC LEAN, VA 22101-4544
- **Mailing address phone:** (571) 216-4727
- **Mailing address fax:** (703) 971-3931

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HCO-171538 | VA | Yes |

## Other

- **Enumeration date:** 11/03/2016
- **Last updated:** 11/14/2016