Organization
AMETHYST HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA KATAMBA (ADMINISTRATOR)
(202) 352-2347
Entity
Organization
Contact information
Practice address
4005 WILLIAMSBURG CT, FAIRFAX, VA 22032-1139
(202) 352-2347
Mailing address
4005 WILLIAMSBURG CT, FAIRFAX, VA 22032-1139
(202) 352-2347
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
10/28/2025
Last updated
11/26/2025
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