Provider Demographics
NPI:1538964044
Name:ONE STOP HOME CARE LLC
Entity type:Organization
Organization Name:ONE STOP HOME CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MR
Authorized Official - First Name:YOUSSEF
Authorized Official - Middle Name:
Authorized Official - Last Name:DJEBBARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-568-2559
Mailing Address - Street 1:7900 SUDLEY RD STE 376
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-2886
Mailing Address - Country:US
Mailing Address - Phone:703-568-2559
Mailing Address - Fax:
Practice Address - Street 1:7900 SUDLEY RD STE 376
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-2886
Practice Address - Country:US
Practice Address - Phone:703-568-2559
Practice Address - Fax:855-853-6635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty
No385HR2050XRespite Care FacilityRespite CareRespite Care Camp
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child