Healthcare Provider Details

I. General information

NPI: 1730933961
Provider Name (Legal Business Name): ALPHACARE HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2024
Last Update Date: 12/26/2025
Certification Date: 12/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7918 JONES BRANCH DR FL 4
MC LEAN VA
22102-3319
US

IV. Provider business mailing address

7918 JONES BRANCH DR FL 4
MC LEAN VA
22102-3319
US

V. Phone/Fax

Practice location:
  • Phone: 703-570-4249
  • Fax: 571-989-7157
Mailing address:
  • Phone: 703-570-4249
  • Fax: 571-989-7157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: OLUSOLA IYIOLA
Title or Position: CEO/ADMINISTRATOR
Credential:
Phone: 703-570-4249