# AMENDED HOME HEALTH CARE

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

## Provider details

- **NPI number:** 1700603479
- **Authorized official:** RAJIB HOQ (ADMINISTRATOR)
- **Authorized official phone:** (571) 356-1538

## Contact information

- **Practice address:** 2201 COOPERATIVE WAY STE 600, HERNDON, VA 20171-3005
- **Practice address phone:** (571) 356-1538
- **Practice address fax:** (703) 935-1364
- **Mailing address:** 2201 COOPERATIVE WAY STE 600, HERNDON, VA 20171-3005
- **Mailing address phone:** (571) 356-1538
- **Mailing address fax:** (703) 935-1364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | Yes |
| 3747P1801X | Personal Care Attendant | — | — | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | — | — |

## Other

- **Enumeration date:** 09/24/2024
- **Last updated:** 07/01/2026