# MY PRIVILEGE HOME CARE LLC

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

## Provider details

- **NPI number:** 1659891802
- **Authorized official:** GLENDY M RODAS (OWNER)
- **Authorized official phone:** (703) 940-4084

## Contact information

- **Practice address:** 3118 WHITE DAISY PL, FAIRFAX, VA 22031-1463
- **Practice address phone:** (703) 940-4084
- **Mailing address:** 3118 WHITE DAISY PL, FAIRFAX, VA 22031-1463

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 251E00000X | Home Health Agency | 17-MYPR | VA | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 372600000X | Adult Companion | — | NULL | — |
| 372600000X | Adult Companion | — | — | — |
| 3747A0650X | Attendant Care Provider | — | NULL | — |
| 3747A0650X | Attendant Care Provider | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 06/20/2017
- **Last updated:** 11/30/2022
