Healthcare Provider Details

I. General information

NPI: 1750112140
Provider Name (Legal Business Name): ALL STAR FRIENDS & FAMILY HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2024
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6820 COMMERCIAL DRIVE SUITE 5
SPRINGFIELD VA
22151
US

IV. Provider business mailing address

6820 COMMERCIAL DRIVE SUITE 5
SPRINGFIELD VA
22151-1003
US

V. Phone/Fax

Practice location:
  • Phone: 571-347-7111
  • Fax: 571-437-7113
Mailing address:
  • Phone: 571-347-7111
  • Fax: 571-347-7113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: SERGIO ROJO
Title or Position: OWNER
Credential:
Phone: 703-928-7608