Organization
TYSONS HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRFAN B MIRZA (ALTERNATE ADMINISTRATOR)
(917) 861-5527
Entity
Organization
Contact information
Practice address
1749 OLD MEADOW RD STE 425, MC LEAN, VA 22102-4312
(703) 873-7863
Mailing address
1749 OLD MEADOW RD STE 425, MC LEAN, VA 22102-4312
(917) 861-5527
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
372500000X
Chore Provider
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/28/2022
Last updated
07/17/2025
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