634 Living Co

Organization Active NPI In Home Supportive Care Agency · Woodbridge, VA

NPI 1285513341 · NPPES record last updated Aug 7, 2026

Key facts

NPI
1285513341
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Legal business name
634 LIVING CO
Practice address
15000 Potomac Town PL Ste 100-512
Woodbridge, VA 22191-6586
Phone
(571) 932-3266
NPI assigned
Sep 1, 2025
Organization subpart
No

Authorized official

Name
Niesha Anderson
Title
Ceo
Phone
(571) 932-3266

National Provider Directory

Locations

15000 Potomac Town Pl
Ste 100512
Woodbridge, VA 22191
Phone (571) 932-3266

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes
Personal Care Attendant
Group: 193200000X MULTI-SPECIALTY GROUP
3747P1801X

Addresses

Primary practice location

15000 Potomac Town PL Ste 100-512
Woodbridge, VA 22191-6586

Mailing address

15000 Potomac Town PL Ste 100-512
Woodbridge, VA 22191-6586

Other names

  • FirstLight Home Care of Woodbridge VA Doing business as

Other providers in Woodbridge, VA

All providers in Woodbridge, VA · In Home Supportive Care Agency in Virginia

Sources for this page

Verify at the official NPI Registry.