# ACTIVE HOME CARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679030704
- **Authorized official:** MR. ABDIAZIZ OMAR HUSSEIN OWNER (OWNER/MANAGER)
- **Authorized official phone:** (571) 277-0173

## Contact information

- **Practice address:** 5881 LEESBURG PIKE SUITE 205, FALLS CHURCH, VA 22041-2312
- **Practice address phone:** (571) 277-0173
- **Practice address fax:** (703) 940-8009
- **Mailing address:** 5881 LEESBURG PIKE SUITE 205, FALLS CHURCH, VA 22041-2312
- **Mailing address phone:** (571) 277-0173
- **Mailing address fax:** (703) 940-8009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 02/25/2019
- **Last updated:** 11/07/2025