Healthcare Provider Details

I. General information

NPI: 1417680554
Provider Name (Legal Business Name): LLOYDS HOMECARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2022
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 TOWNE CENTRE BLVD STE 2500
FREDERICKSBURG VA
22407-1157
US

IV. Provider business mailing address

405 HATCHERS RUN CT
STAFFORD VA
22554-8405
US

V. Phone/Fax

Practice location:
  • Phone: 703-386-5776
  • Fax: 571-660-4766
Mailing address:
  • Phone: 703-386-5776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. SHANISE GRISSETT
Title or Position: OWNER
Credential:
Phone: 571-275-9258