Organization · NPI-2

1st Reliable Care LLC

Home Health · Stafford, VA

NPI number1063217875

StatusActive

Last updated in NPPESFeb 17, 2025

Details

NPI: 1063217875
Entity type: Organization (NPI-2)
Legal business name: 1st Reliable Care LLC
Organization subpart: No
Enumeration date: Feb 17, 2025
Certification date: Feb 16, 2025
Last updated: Feb 17, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251E00000X	Home Health	–	–	Yes
251J00000X	Nursing Care	–	–
253Z00000X	In Home Supportive Care	–	–
343900000X	Non-emergency Medical Transport (VAN)	–	–
372500000X	Chore Provider	–	–
3747A0650X	Technician, Attendant Care Provider	–	–
3747P1801X	Technician, Personal Care Attendant	–	–
376J00000X	Homemaker	–	–
385H00000X	Respite Care	–	–

Other names

1st Reliable Transportion (Doing Business As)
1st Reliable Care (Doing Business As)

Practice location

207 Chesterbrook Ct Fl 1
Stafford, VA 22554-4880

Phone 804-481-0148

Mailing address

207 Chesterbrook Ct Fl 1
Stafford, VA 22554-4880

Authorized official

Gloria Koomson
President
8044810148

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