Healthcare Provider Details

I. General information

NPI: 1366381808
Provider Name (Legal Business Name): ALBISURE HOMECARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3060 WILLIAMS DR STE 300
FAIRFAX VA
22031-4648
US

IV. Provider business mailing address

3060 WILLIAMS DR STE 300
FAIRFAX VA
22031-4648
US

V. Phone/Fax

Practice location:
  • Phone: 571-681-8966
  • Fax:
Mailing address:
  • Phone: 571-681-8966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ALBERTA BANYONG
Title or Position: OWNER
Credential:
Phone: 571-681-8966