# EXCELLENT CARE HOME HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1568820603
- **Authorized official:** DR. ROSE AKHOASEGBE EHICHIOYA RN, PHMNP, PHD (OWNER)
- **Authorized official phone:** (703) 973-0176

## Contact information

- **Practice address:** 1684 ROSEDALE CT, WOODBRIDGE, VA 22191-3014
- **Practice address phone:** (571) 359-6335
- **Practice address fax:** (571) 428-2027
- **Mailing address:** 1684 ROSEDALE CT, WOODBRIDGE, VA 22191-3014
- **Mailing address phone:** (703) 973-0176
- **Mailing address fax:** (571) 428-2027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HCO-161374 | VA | Yes |

## Other

- **Enumeration date:** 02/03/2016
- **Last updated:** 05/13/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1568820603 | — | VA |
