# FAIRFAX HOME HEALTH CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063767523
- **Authorized official:** ROXANA REYES (ADMINISTRATOR)
- **Authorized official phone:** (703) 546-8555

## Contact information

- **Practice address:** 171 ELDEN ST STE 3A1, HERNDON, VA 20170-4976
- **Practice address phone:** (571) 315-7333
- **Practice address fax:** (855) 255-0578
- **Mailing address:** 171 ELDEN ST STE 3A1, HERNDON, VA 20170-4976
- **Mailing address phone:** (571) 315-7333
- **Mailing address fax:** (855) 255-0578

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/19/2012
- **Last updated:** 11/03/2021