# HAVEN HOME HEALTH CARE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1093250672
- **Authorized official:** MEDINA IBRAHIM (ADMINISTRATOR)
- **Authorized official phone:** (703) 444-2244

## Contact information

- **Practice address:** 21335 SIGNAL HILL PLAZA SUITE 250, STERLING, VA 20164
- **Practice address phone:** (703) 444-2244
- **Practice address fax:** (703) 982-7520
- **Mailing address:** 21335 SIGNAL HILL PLAZA SUITE 250, STERLING, VA 20164
- **Mailing address phone:** (703) 444-2244
- **Mailing address fax:** (703) 982-7520

## Taxonomy

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

## Other

- **Enumeration date:** 01/05/2017
- **Last updated:** 11/07/2023