Organization
SENIORAIDE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODABA AHMADI MEHERZAD (OWNER/ADMINISTRATOR)
(571) 326-8810
Entity
Organization
Contact information
Practice address
12181 GREATBRIDGE RD, WOODBRIDGE, VA 22192-5514
(571) 493-0588
Mailing address
12181 GREATBRIDGE RD, WOODBRIDGE, VA 22192-5514
(571) 493-0588
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372500000X
Chore Provider
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/10/2025
Last updated
04/30/2026
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