# POTOMAC HOME HEALTH LLC

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

## Provider details

- **NPI number:** 1952775181
- **Authorized official:** MADAN UPRETY (PRESIDENT)
- **Authorized official phone:** (703) 623-5592

## Contact information

- **Practice address:** 441 CARLISLE DR STE B, 203, HERNDON, VA 20170-4837
- **Practice address phone:** (703) 623-5592
- **Practice address fax:** (866) 470-3118
- **Mailing address:** 441 CARLISLE DR STE B, 203, HERNDON, VA 20170-4837
- **Mailing address phone:** (703) 623-5592
- **Mailing address fax:** (866) 470-3118

## Taxonomy

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

## Other

- **Enumeration date:** 11/27/2015
- **Last updated:** 11/27/2015