Healthcare Provider Details

I. General information

NPI: 1467244822
Provider Name (Legal Business Name): 1ST HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6315 BACKLICK RD STE 101
SPRINGFIELD VA
22150-2608
US

IV. Provider business mailing address

6315 BACKLICK RD STE 101
SPRINGFIELD VA
22150-2608
US

V. Phone/Fax

Practice location:
  • Phone: 703-981-8201
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BETELIHEM BEKALO
Title or Position: ADMINISTRATOR, DIRECTOR OF NURSING
Credential: RN, MSN
Phone: 703-981-8201