Healthcare Provider Details

I. General information

NPI: 1609799170
Provider Name (Legal Business Name): LEGACY HOME SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16975 POINT PLEASANT LN
DUMFRIES VA
22026-3247
US

IV. Provider business mailing address

16975 POINT PLEASANT LN
DUMFRIES VA
22026-3247
US

V. Phone/Fax

Practice location:
  • Phone: 703-447-1793
  • Fax: 703-447-1793
Mailing address:
  • Phone: 703-447-1793
  • Fax: 703-447-1793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: NICOLE WASHINGTON
Title or Position: OWNER
Credential:
Phone: 703-447-1793