MEDICARE: CHASE HOME CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	385H00000X	Respite Care
2	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1194531384
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHASE HOME CARE LLC

Provider Business Mailing Address
First Line	:	3220 6TH ST S
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-1702
Country	:	US
Telephone Number	:	571-239-5838
Fax Number	:

Provider Business Practice Location Address
First Line	:	3220 6TH ST S
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-1702
Country	:	US
Telephone Number	:	571-239-5838
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	DEVON CHASE
Credential	:
Telephone Number	:	571-239-5838

Provider Enumeration Date	:	12/04/2024
Last Update Date	:	03/14/2026

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Directions to “CHASE HOME CARE LLC ” Practice Location

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