Provider Demographics
NPI:1225377807
Name:ATA&ANA LLC
Entity Type:Organization
Organization Name:ATA&ANA LLC
Other - Org Name:ATA & ANA HOME HEALTH AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ZAHRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIAHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-449-7402
Mailing Address - Street 1:8304 OLD COURTHOUSE RD.
Mailing Address - Street 2:UNIT D
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182
Mailing Address - Country:US
Mailing Address - Phone:571-721-9865
Mailing Address - Fax:
Practice Address - Street 1:8304 OLD COURTHOUSE RD.
Practice Address - Street 2:UNIT D
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182
Practice Address - Country:US
Practice Address - Phone:571-721-9865
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-02
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251E00000X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No251E00000XAgenciesHome Health