# HOME CARE PROVIDERS LLC

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

## Provider details

- **NPI number:** 1134356082
- **Authorized official:** WONDWOSSEN HAILE (MANAGING DIRECTOR)
- **Authorized official phone:** (703) 585-0738

## Contact information

- **Practice address:** 5881 LEESBURG PIKE, SUITE 504, FALLS CHURCH, VA 22041-2314
- **Practice address phone:** (703) 998-4080
- **Practice address fax:** (703) 998-4081
- **Mailing address:** 5881 LEESBURG PIKE, SUITE 504, FALLS CHURCH, VA 22041-2314
- **Mailing address phone:** (703) 998-4080
- **Mailing address fax:** (703) 998-4081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | T005944 | VA | Yes |

## Other

- **Enumeration date:** 06/18/2009
- **Last updated:** 10/02/2009