# EXPERIENCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ExperienCare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205351145
- **Authorized official:** MRS. NOREEN R JAHANGIRI (PRESIDENT)
- **Authorized official phone:** (703) 338-0285

## Contact information

- **Practice address:** 502 MCKNIGHT DR STE 101, KNIGHTDALE, NC 27545-7050
- **Practice address phone:** (703) 338-0878
- **Practice address fax:** (703) 991-8154
- **Mailing address:** 5338 BOWERS HILL DR, HAYMARKET, VA 20169-4510
- **Mailing address phone:** (703) 338-0285

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | NULL | Yes |
| 273100000X | Epilepsy Hospital Unit | — | NULL | — |
| 292200000X | Dental Laboratory | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 08/12/2017
- **Last updated:** 10/24/2020