Organization Active NPI

1St Reliable Care LLC

Doing business as 1St Reliable Care

  • Home Health Agency
  • Stafford, VA
National Provider Identifier
1063217875
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
1ST RELIABLE CARE LLC
Doing business as
1St Reliable Care
1St Reliable Transportion
Practice address
207 Chesterbrook CT FL 1
Stafford, VA 22554-4880
Phone
(804) 481-0148
NPI assigned
Feb 17, 2025
Last updated
Feb 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gloria Koomson
Title
President
Phone
(804) 481-0148

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Nursing Care Agency 251J00000X NU
Non-emergency Medical Transport (VAN) 343900000X NU
Chore Provider 372500000X NU
Attendant Care Provider 3747A0650X NU
Personal Care Attendant 3747P1801X NU
Homemaker 376J00000X NU
Respite Care 385H00000X NU
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

207 Chesterbrook CT FL 1
Stafford, VA 22554-4880

Mailing address

207 Chesterbrook CT FL 1
Stafford, VA 22554-4880

Other identifiers 1

IdentifierTypeStateIssuer
HCO-0005670OtherVAVDH

Other names 2

  • 1ST RELIABLE CARE Doing business as
  • 1ST RELIABLE TRANSPORTION Doing business as

National Provider Directory

National Provider Directory
Tax ID family
1St Reliable Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1063217875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 CHESTERBROOK CT FL 1",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225544880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 CHESTERBROOK CT FL 1",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225544880",
            "telephone_number": "804-481-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST RELIABLE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-16",
        "status": "A",
        "authorized_official_last_name": "KOOMSON",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-481-0148"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VDH",
            "identifier": "HCO-0005670",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1ST RELIABLE CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "1ST RELIABLE TRANSPORTION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.