# LAVENDER CARES AGENCY

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

## Provider details

- **NPI number:** 1881105377
- **Authorized official:** MS. ALYLAH PETERS (OFFICE MANAGER)
- **Authorized official phone:** (571) 213-3164

## Contact information

- **Practice address:** 901 S HIGHLAND ST STE 325, ARLINGTON, VA 22204-2459
- **Practice address phone:** (571) 213-3164
- **Mailing address:** 901 S HIGHLAND ST STE 333, ARLINGTON, VA 22204-2459
- **Mailing address phone:** (571) 213-3164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1743 | VA | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 10/24/2017
- **Last updated:** 10/23/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1881105377 | — | VA |