Healthcare Provider Details

I. General information

NPI: 1023887312
Provider Name (Legal Business Name): TRENDSTAR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2023
Last Update Date: 05/24/2025
Certification Date: 05/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12721 DARBY BROOK CT STE 202-5
WOODBRIDGE VA
22192-2408
US

IV. Provider business mailing address

145 HARRELL RD STE 103
FREDERICKSBURG VA
22405-4000
US

V. Phone/Fax

Practice location:
  • Phone: 571-303-1387
  • Fax: 571-303-1567
Mailing address:
  • Phone: 703-688-3262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL ASEKA OKUTUTI
Title or Position: ADMINISTRATOR
Credential:
Phone: 571-201-2930