Provider Demographics
NPI:1306657143
Name:SWEET VIRGINIA CARE DC LLC
Entity type:Organization
Organization Name:SWEET VIRGINIA CARE DC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CONRAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-496-4616
Mailing Address - Street 1:21035 SYCOLIN RD STE 55
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-4311
Mailing Address - Country:US
Mailing Address - Phone:703-496-4616
Mailing Address - Fax:703-496-4615
Practice Address - Street 1:5247 WISCONSIN AVE NW STE 3B
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20015-2012
Practice Address - Country:US
Practice Address - Phone:703-496-4616
Practice Address - Fax:703-496-4615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care