Healthcare Provider Details

I. General information

NPI: 1669006557
Provider Name (Legal Business Name): QUEST HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2020
Last Update Date: 06/28/2025
Certification Date: 06/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

977 BRANCH DR
HERNDON VA
20170-3415
US

IV. Provider business mailing address

977 BRANCH DR
HERNDON VA
20170-3415
US

V. Phone/Fax

Practice location:
  • Phone: 703-596-9654
  • Fax: 703-673-1133
Mailing address:
  • Phone: 703-596-9654
  • Fax: 703-673-1133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2055X
TaxonomyChild Mental Illness Respite Care
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: MOE KHAYR
Title or Position: ADMINISTRATOR
Credential:
Phone: 703-596-9654