Provider Demographics
NPI:1407730195
Name:AYAT CARE SERVICE LLC
Entity type:Organization
Organization Name:AYAT CARE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MOZHGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AHAMDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-472-7455
Mailing Address - Street 1:12831 MISTY LN
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-6430
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12831 MISTY LN
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-6430
Practice Address - Country:US
Practice Address - Phone:703-472-7455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health