Healthcare Provider Details

I. General information

NPI: 1447161344
Provider Name (Legal Business Name): HOMECARE DMV, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7777 LEESBURG PIKE STE 405N
FALLS CHURCH VA
22043-2420
US

IV. Provider business mailing address

7777 LEESBURG PIKE STE 405N
FALLS CHURCH VA
22043-2420
US

V. Phone/Fax

Practice location:
  • Phone: 202-500-0503
  • Fax: 202-217-4221
Mailing address:
  • Phone: 202-500-0503
  • Fax: 202-217-4221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ALIREZA GHODRATIPOUR
Title or Position: CEO
Credential:
Phone: 202-500-0503