# BLUE HEART LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TLC Health Services LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346783255
- **Authorized official:** SYED SUHAIB ASIF SHAH (ADMINISTRATOR)
- **Authorized official phone:** (703) 606-7829

## Contact information

- **Practice address:** 3022 JAVIER RD, SUITE 104A, FAIRFAX, VA 22031-4645
- **Practice address phone:** (703) 646-1531
- **Mailing address:** 3022 JAVIER RD, SUITE 104A, FAIRFAX, VA 22031-4645
- **Mailing address phone:** (703) 646-1531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HCO-171537 | VA | Yes |

## Other

- **Enumeration date:** 11/25/2016
- **Last updated:** 11/25/2016
