Healthcare Provider Details

I. General information

NPI: 1366208720
Provider Name (Legal Business Name): FRANCIS, ALAN, AND SABRINA-ROSE ENTERPRISE LLC (FAS)
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2024
Last Update Date: 02/23/2024
Certification Date: 01/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

722 E MARKET ST STE 102
LEESBURG VA
20176-4475
US

IV. Provider business mailing address

722 E MARKET ST STE 102
LEESBURG VA
20176-4475
US

V. Phone/Fax

Practice location:
  • Phone: 703-844-1387
  • Fax: 703-783-8320
Mailing address:
  • Phone: 703-936-2240
  • Fax: 703-783-8320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 3
Primary TaxonomyN
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: FELIX P GBEE
Title or Position: OWNER
Credential:
Phone: 703-936-2240