Organization Active NPI

Active Home Care Services LLC

  • In Home Supportive Care Agency
  • Falls Church, VA
National Provider Identifier
1679030704
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ACTIVE HOME CARE SERVICES LLC
Practice address
5881 Leesburg Pike Suite 205
Falls Church, VA 22041-2312
Phone
(571) 277-0173
Fax
(703) 940-8009
NPI assigned
Feb 25, 2019
Last updated
Nov 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Mr. Abdiaziz Omar Hussein, OWNER
Title
Owner/Manager
Phone
(571) 277-0173

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X NU
Respite Care 385H00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

5881 Leesburg Pike Suite 205
Falls Church, VA 22041-2312

Mailing address

5881 Leesburg Pike Suite 205
Falls Church, VA 22041-2312
Phone (571) 277-0173

National Provider Directory

National Provider Directory

Locations

5613 Leesburg Pike
Ste 7
Falls Church, VA 22041

5881 Leesburg Pike
Ste 205
Falls Church, VA 22041
Phone (571) 277-0173

NPI Registry JSON

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1679030704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5881 LEESBURG PIKE SUITE 205",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412312",
            "telephone_number": "571-277-0173",
            "fax_number": "703-940-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5881 LEESBURG PIKE SUITE 205",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412312",
            "telephone_number": "571-277-0173",
            "fax_number": "703-940-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "HUSSEIN",
        "authorized_official_first_name": "ABDIAZIZ",
        "authorized_official_middle_name": "OMAR",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "571-277-0173",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "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": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.