Healthcare Provider Details

I. General information

NPI: 1629901533
Provider Name (Legal Business Name): FAMILY LOVE HOME CARE OF VIRGINIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 RIVERSIDE PKWY STE 115
FREDERICKSBURG VA
22406
US

IV. Provider business mailing address

210 E SUNRISE HWY STE 101
VALLEY STREAM NY
11581-1330
US

V. Phone/Fax

Practice location:
  • Phone: 443-578-3231
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BRETT LABRIE
Title or Position: MANAGER
Credential:
Phone: 347-353-7560