# VIRGINIA CARDINAL HOME CARE LLC

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

## Provider details

- **NPI number:** 1215792023
- **Authorized official:** KHALID AHMED (CO-OWNER)
- **Authorized official phone:** (571) 616-1670

## Contact information

- **Practice address:** 11890 SUNRISE VALLEY DR STE 302, RESTON, VA 20191-3302
- **Practice address phone:** (571) 616-1670
- **Mailing address:** 11890 SUNRISE VALLEY DR STE 302, RESTON, VA 20191-3302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 02/20/2024
- **Last updated:** 04/24/2025