Provider Demographics
NPI:1669006557
Name:QUEST HOME HALTH CARE LLC
Entity Type:Organization
Organization Name:QUEST HOME HALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAYR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-596-9654
Mailing Address - Street 1:977 BRANCH DR
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-3415
Mailing Address - Country:US
Mailing Address - Phone:703-596-9654
Mailing Address - Fax:703-673-1133
Practice Address - Street 1:977 BRANCH DR
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-3415
Practice Address - Country:US
Practice Address - Phone:703-596-9654
Practice Address - Fax:703-673-1133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-28
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAHCO-202261OtherCOMMONWEALTH OF VIRGINIA DEPARTMETN OF HEALTH