# BLUESTAR HOME HEALTH CARE LLC

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

## Provider details

- **NPI number:** 1962894717
- **Authorized official:** ISMAHAN AHMED RN (ADMINISTRATOR)
- **Authorized official phone:** (703) 829-0719

## Contact information

- **Practice address:** 5613 LEESBURG PIKE STE 55, FALLS CHURCH, VA 22041-2912
- **Practice address phone:** (703) 829-0719
- **Practice address fax:** (703) 646-7558
- **Mailing address:** 5613 LEESBURG PIKE STE 55, FALLS CHURCH, VA 22041-2912
- **Mailing address phone:** (703) 829-0719
- **Mailing address fax:** (703) 646-7558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | Yes |
| 251F00000X | Home Infusion Agency | 171347 | VA | — |
| 251G00000X | Community Based Hospice Care Agency | — | — | — |
| 251J00000X | Nursing Care Agency | 171347 | VA | — |
| 253Z00000X | In Home Supportive Care Agency | 171347 | VA | — |
| 385H00000X | Respite Care | — | — | — |

## Other

- **Enumeration date:** 03/02/2015
- **Last updated:** 03/17/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 171347 | VA DEPARTMENT OF HEALTH | VA |
| 05 | — | 1962894717 | — | VA |