NPIMap

Organization Active NPI

Blue Dolphin Home Health Care Services LLC

  • Home Health Aide
  • Reston, VA
National Provider Identifier
1104786102
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
BLUE DOLPHIN HOME HEALTH CARE SERVICES LLC
Practice address
11800 Sunset Hills Rd
Suite 816
Reston, VA 20190-4785
Phone
(703) 628-2262
Fax
(703) 628-2262
NPI assigned
Nov 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Waseem Haider, ADMINISTRATOR
Title
Owner
Phone
(703) 628-2262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

11800 Sunset Hills Rd
Suite 816
Reston, VA 20190-4785

Mailing address

11800 Sunset Hills Rd
Suite 816
Reston, VA 20190-4785
Phone (703) 628-2262

National Provider Directory

National Provider Directory
Tax ID family
Blue Dolphin Home Health Care Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1104786102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 SUNSET HILLS RD",
            "address_2": "SUITE 816",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904785",
            "telephone_number": "703-628-2262",
            "fax_number": "703-628-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 SUNSET HILLS RD",
            "address_2": "SUITE 816",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904785",
            "telephone_number": "703-628-2262",
            "fax_number": "703-628-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE DOLPHIN HOME HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "HAIDER",
        "authorized_official_first_name": "WASEEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-628-2262",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.