# DD LOVING HOME HEALTH CARE, LLC.

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

## Provider details

- **NPI number:** 1154739282
- **Authorized official:** MRS. DEMI KELLEY RN (DIRECTOR OF NURSING)
- **Authorized official phone:** (703) 870-1469

## Contact information

- **Practice address:** 1600 TYSONS BLVD, MC LEAN, VA 22102-4865
- **Practice address phone:** (703) 870-1469
- **Practice address fax:** (866) 898-2688
- **Mailing address:** 1600 TYSONS BLVD, MC LEAN, VA 22102-4865
- **Mailing address phone:** (703) 870-1469
- **Mailing address fax:** (866) 898-2688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HCO-151176 | VA | Yes |
| 251E00000X | Home Health Agency | R3888 | MD | — |

## Other

- **Enumeration date:** 08/01/2014
- **Last updated:** 04/27/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1154739282 | — | VA |