Provider Demographics
NPI:1932720943
Name:1ST AMERICARE LLC
Entity Type:Organization
Organization Name:1ST AMERICARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANISH
Authorized Official - Middle Name:
Authorized Official - Last Name:NAYAR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:732-277-8100
Mailing Address - Street 1:25156 RIDING CENTER DR
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20152-6049
Mailing Address - Country:US
Mailing Address - Phone:732-277-8100
Mailing Address - Fax:
Practice Address - Street 1:23475 ROCK HAVEN WAY STE 205
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-4457
Practice Address - Country:US
Practice Address - Phone:732-277-8100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-30
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No251K00000XAgenciesPublic Health or Welfare
No253Z00000XAgenciesIn Home Supportive Care
No305S00000XManaged Care OrganizationsPoint of Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAHCO-201868OtherVIRGINIA DEPARTMENT OF HEALTH