Healthcare Provider Details

I. General information

NPI: 1982564068
Provider Name (Legal Business Name): AAA FAMILY CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2025
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21495 RIDGETOP CIR STE 201
STERLING VA
20166-6512
US

IV. Provider business mailing address

21495 RIDGETOP CIR STE 201
STERLING VA
20166-6512
US

V. Phone/Fax

Practice location:
  • Phone: 571-800-7198
  • Fax:
Mailing address:
  • Phone: 571-800-7198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: BETSY R BONILLA
Title or Position: CEO
Credential:
Phone: 571-800-7198