# VESTA HOME HEALTH CARE, LLC

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

## Provider details

- **NPI number:** 1508497272
- **Authorized official:** MR. TAMIM MOJADDIDI (CEO)
- **Authorized official phone:** (703) 332-9854

## Contact information

- **Practice address:** 21954 TRACTION PL, STERLING, VA 20164-4648
- **Practice address phone:** (571) 207-6765
- **Mailing address:** 21954 TRACTION PL, STERLING, VA 20164-4648
- **Mailing address phone:** (571) 207-6765

## Taxonomy

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

## Other

- **Enumeration date:** 01/30/2020
- **Last updated:** 01/30/2020