Provider Demographics
NPI:1740925270
Name:A&G TRUSTED HOME CARE LLC
Entity type:Organization
Organization Name:A&G TRUSTED HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT / ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCASLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-240-6386
Mailing Address - Street 1:10193 FORNEY LOOP
Mailing Address - Street 2:
Mailing Address - City:FT BELVOIR
Mailing Address - State:VA
Mailing Address - Zip Code:22060-1832
Mailing Address - Country:US
Mailing Address - Phone:757-240-6386
Mailing Address - Fax:
Practice Address - Street 1:6969 RICHMOND HWY STE 204
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306-1804
Practice Address - Country:US
Practice Address - Phone:757-240-6386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-29
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care