Healthcare Provider Details

I. General information

NPI: 1699642769
Provider Name (Legal Business Name): BLUEBIRD HOME HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2025
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 LEESBURG PIKE STE 200G
ALEXANDRIA VA
22302-1000
US

IV. Provider business mailing address

5100 LEESBURG PIKE STE 200G
ALEXANDRIA VA
22302-1000
US

V. Phone/Fax

Practice location:
  • Phone: 571-234-7840
  • Fax:
Mailing address:
  • Phone: 571-234-7840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: DAVID AHMED ALI
Title or Position: OWNER
Credential:
Phone: 571-234-7840