Provider Demographics
NPI:1780469288
Name:CENTRIXCARE LLC
Entity type:Organization
Organization Name:CENTRIXCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:NAIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-233-2093
Mailing Address - Street 1:722 E MARKET ST STE 102
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-4475
Mailing Address - Country:US
Mailing Address - Phone:571-479-7991
Mailing Address - Fax:
Practice Address - Street 1:722 E MARKET ST STE 102
Practice Address - Street 2:OFC A37
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-4475
Practice Address - Country:US
Practice Address - Phone:571-479-7991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty