Provider Demographics
NPI:1619736436
Name:FIRST ALLY HOME CARE, LLC
Entity Type:Organization
Organization Name:FIRST ALLY HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KAMEL
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:MUSAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-851-5507
Mailing Address - Street 1:59 HAMPTON PARK RD
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-3721
Mailing Address - Country:US
Mailing Address - Phone:703-851-5507
Mailing Address - Fax:
Practice Address - Street 1:59 HAMPTON PARK RD
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-3721
Practice Address - Country:US
Practice Address - Phone:703-851-5507
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health