Provider Demographics
NPI:1386449056
Name:1ST ALLIANCE HOME CARE LLC
Entity type:Organization
Organization Name:1ST ALLIANCE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAMID
Authorized Official - Middle Name:
Authorized Official - Last Name:YADGARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-646-1617
Mailing Address - Street 1:3310 NOBLE POND WAY STE 223
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-1472
Mailing Address - Country:US
Mailing Address - Phone:703-646-1617
Mailing Address - Fax:
Practice Address - Street 1:470 TILLER ST
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-3568
Practice Address - Country:US
Practice Address - Phone:703-646-1617
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care