# PROCARE HOME HEALTH LLC

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

## Provider details

- **NPI number:** 1255867560
- **Authorized official:** GREESHMA THOTAKURA (OWNER)
- **Authorized official phone:** (703) 880-4884

## Contact information

- **Practice address:** 13800 COPPERMINE RD STE 157, HERNDON, VA 20171-6163
- **Practice address phone:** (248) 303-3693
- **Mailing address:** 13800 COPPERMINE RD STE 157, HERNDON, VA 20171-6163
- **Mailing address phone:** (248) 303-3693

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/05/2017
- **Last updated:** 01/30/2018