# AMANA HOME HEALTHCARE, LLC

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

## Provider details

- **NPI number:** 1154168680
- **Authorized official:** KIFAYA ABUBEKER (ADMINISTRATOR)
- **Authorized official phone:** (703) 831-7747

## Contact information

- **Practice address:** 3900 UNIVERSITY DR STE 300, FAIRFAX, VA 22030-2513
- **Practice address phone:** (703) 831-7747
- **Practice address fax:** (703) 573-4262
- **Mailing address:** 3900 UNIVERSITY DR STE 300, FAIRFAX, VA 22030-2513
- **Mailing address phone:** (703) 831-7747
- **Mailing address fax:** (703) 573-4262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | Yes |
| 3747P1801X | Personal Care Attendant | — | — | — |
| 376J00000X | Homemaker | — | — | — |
| 385H00000X | Respite Care | — | — | — |
| 385HR2055X | Child Mental Illness Respite Care | — | — | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | — | — |

## Other

- **Enumeration date:** 07/11/2024
- **Last updated:** 07/30/2024