Active NPI
1St Reliable Care LLC
Doing business as 1St Reliable Care
- Home Health Agency
- Stafford, VA
National Provider Identifier
1063217875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HCO-0005670 | Other | VA | VDH |
Other names 2
- 1ST RELIABLE CARE
- 1ST RELIABLE TRANSPORTION
National Provider Directory
National Provider Directory- Tax ID family
- 1St Reliable Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba GUARDIAN GRACE Home Care
- Personal Care Attendant
- Sterling, VA
- NPI 1730007501
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.