# BBA HOME HEALTH CARE LLC

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

## Provider details

- **NPI number:** 1265898571
- **Authorized official:** MRS. AMANDA PHIROM BREADY (OWNER)
- **Authorized official phone:** (703) 606-3806

## Contact information

- **Practice address:** 23420 SUMMERSTOWN PL, DULLES, VA 20166-2178
- **Practice address phone:** (703) 606-3806
- **Mailing address:** 23420 SUMMERSTOWN PLACE, DULLES, VA 20166
- **Mailing address phone:** (703) 606-3806

## Taxonomy

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

## Other

- **Enumeration date:** 01/04/2016
- **Last updated:** 02/01/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 30017487950001 | — | VA |
| 01 | — | HCO-233043 | BBA LICENSE | VA |