Provider Demographics
NPI:1356661136
Name:1ST STOP HEALTH SERVICES INC
Entity Type:Organization
Organization Name:1ST STOP HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER/TREASURER/SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:UCHE
Authorized Official - Middle Name:SHIRLEY
Authorized Official - Last Name:NJOKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-242-0805
Mailing Address - Street 1:10355 DEMOCRACY LN STE A
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-2594
Mailing Address - Country:US
Mailing Address - Phone:703-204-1180
Mailing Address - Fax:703-722-3885
Practice Address - Street 1:10355 DEMOCRACY LN STE A
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-2594
Practice Address - Country:US
Practice Address - Phone:703-204-1180
Practice Address - Fax:703-722-3885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-03
Last Update Date:2017-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
VA253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0102846356Medicaid
VA0102846273Medicaid