Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
THREE FINGER JACK LLC
Active
Organization
THREE FINGER JACK LLC
Active
Other names
Executive Home Care of Manassas
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN MCBROOM (OWNER OPERATOR)
(540) 424-3991
Entity
Organization
Contact information
Practice address
10432 BALLS FORD RD STE 300, MANASSAS, VA 20109-2517
(703) 936-5545
Mailing address
10432 BALLS FORD RD STE 300, MANASSAS, VA 20109-2517
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
3747A0650X
Attendant Care Provider
—
NULL
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
07/01/2025
Last updated
06/02/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers