Healthcare Provider Details

I. General information

NPI: 1629826045
Provider Name (Legal Business Name): VM HOME CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2024
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5510 CHEROKEE AVE STE 300-N12
ALEXANDRIA VA
22312-2320
US

IV. Provider business mailing address

5510 CHEROKEE AVE STE 300-N12
ALEXANDRIA VA
22312-2320
US

V. Phone/Fax

Practice location:
  • Phone: 646-407-9592
  • Fax:
Mailing address:
  • Phone: 571-319-1243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL OBOH
Title or Position: CEO
Credential:
Phone: 571-319-1243