MEDICARE: QUALITY LIFE HOME CARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	385H00000X	Respite Care
3	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1477491686
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY LIFE HOME CARE LLC

Provider Business Mailing Address
First Line	:	11490 COMMERCE PARK DR STE 522
Second Line	:
City	:	RESTON
State	:	VA
Zip	:	20191-1574
Country	:	US
Telephone Number	:	571-250-9508
Fax Number	:

Provider Business Practice Location Address
First Line	:	11490 COMMERCE PARK DR STE 522
Second Line	:
City	:	RESTON
State	:	VA
Zip	:	20191-1574
Country	:	US
Telephone Number	:	571-250-9508
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NORMA R MALTEZ
Credential	:
Telephone Number	:	571-250-9508

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	05/04/2026

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Directions to “QUALITY LIFE HOME CARE LLC ” Practice Location

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