Organization
FIRST SUPPORT HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERVINEH RASTGHALAM (DON/ADMINISTRATOR)
(571) 690-7127
Entity
Organization
Contact information
Practice address
20937 ASHBURN RD STE 200, ASHBURN, VA 20147-5663
(571) 690-7127
Mailing address
20937 ASHBURN RD STE 200, ASHBURN, VA 20147-5663
(571) 690-7127
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
12/31/2024
Last updated
07/31/2026
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