# MAYA HOME HEALTH CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MAYA HOME HEALTH CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407667710
- **Authorized official:** TINBIT ABEBE FNP-C (ADMINISTRATOR)
- **Authorized official phone:** (703) 457-1186

## Contact information

- **Practice address:** 8434 AMBROSE CT, SPRINGFIELD, VA 22153-4000
- **Practice address phone:** (703) 457-1187
- **Mailing address:** 8434 AMBROSE CT, SPRINGFIELD, VA 22153-4000
- **Mailing address phone:** (703) 457-1187

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 372600000X | Adult Companion | — | NULL | — |
| 372600000X | Adult Companion | — | — | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 01/16/2025
- **Last updated:** 01/16/2025