Provider Demographics
NPI:1467244822
Name:1ST HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:1ST HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR, DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:BETELIHEM
Authorized Official - Middle Name:
Authorized Official - Last Name:BEKALO
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN
Authorized Official - Phone:703-981-8201
Mailing Address - Street 1:6315 BACKLICK RD STE 101
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150-2608
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6315 BACKLICK RD STE 101
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22150-2608
Practice Address - Country:US
Practice Address - Phone:703-981-8201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health