Organization
ACTIVE HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDIAZIZ OMAR HUSSEIN OWNER (OWNER/MANAGER)
(571) 277-0173
Entity
Organization
Contact information
Practice address
5881 LEESBURG PIKE SUITE 205, FALLS CHURCH, VA 22041-2312
(571) 277-0173
(703) 940-8009
Mailing address
5881 LEESBURG PIKE SUITE 205, FALLS CHURCH, VA 22041-2312
(571) 277-0173
(703) 940-8009
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/25/2019
Last updated
11/07/2025
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