Healthcare Provider Details

I. General information

NPI: 1740968593
Provider Name (Legal Business Name): FIRST CARE HOME SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2023
Last Update Date: 07/10/2023
Certification Date: 07/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6912 SYDENSTRICKER RD
SPRINGFIELD VA
22152-2739
US

IV. Provider business mailing address

6912 SYDENSTRICKER RD
SPRINGFIELD VA
22152-2739
US

V. Phone/Fax

Practice location:
  • Phone: 571-336-2287
  • Fax: 571-347-8006
Mailing address:
  • Phone: 571-336-2287
  • Fax: 571-347-8006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. CLOTILDA CHOH
Title or Position: CEO
Credential: NP
Phone: 240-425-2388