Organization
HOME LIFE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR HAKAMI (OWNER/ADMINISTRATOR)
(571) 400-9300
Entity
Organization
Contact information
Practice address
5103D BACKLICK RD, ANNANDALE, VA 22003-6079
(703) 407-5586
Mailing address
5103D BACKLICK RD, ANNANDALE, VA 22003-6079
(703) 462-8326
(703) 462-8394
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/04/2023
Last updated
09/11/2025
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