Patriot Home Care Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PATRIOT HOME CARE SERVICES, LLC

Practice address

12065 Willowood Dr
Lake Ridge, VA 22192-1515

Phone

(317) 258-6875

NPI assigned

Sep 5, 2026

Last updated

Sep 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Peter Kwesi Stephens

Title

Administrator

Phone

(317) 258-6875

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1788566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788566400000",
    "number": "1528977337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12065 WILLOWOOD DR",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221921515",
            "telephone_number": "317-258-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12065 WILLOWOOD DR",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221921515",
            "telephone_number": "317-258-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-05",
        "last_updated": "2026-09-05",
        "certification_date": "2026-09-05",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "KWESI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "317-258-6875",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilly Maire Ortega Torres, EMT
• Ki Soo Park
• Emily C Pastore, AUD
• Patient First Richmond Medical Group (Patient First Lake Ridge)
• Patient First Richmond Medical Group PLLC (Patient First - Lake Ridge)
• Taryn Nichelle Pettigrew, OT
• Andrew Davis Pfaff, PA-C
• Jonathan Phuong
• Potomac Hospital Corporation of Prince William (Lake Ridge)
• Donna L Price, LPC

• In Home Supportive Care Agency in Lake Ridge, VA
• Providers in Lake Ridge, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; 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.