Organization Active NPI

Home Life Care LLC

  • Personal Care Attendant
  • Annandale, VA
National Provider Identifier
1861197212
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
HOME LIFE CARE LLC
Practice address
5103D Backlick Rd
Annandale, VA 22003-6079
Phone
(703) 407-5586
NPI assigned
Apr 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Omar Hakami
Title
Owner/Administrator
Phone
(571) 400-9300

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X Primary
Respite Care 385H00000X

Addresses

Primary practice location

5103D Backlick Rd
Annandale, VA 22003-6079

Mailing address

5103D Backlick Rd
Annandale, VA 22003-6079
Phone (703) 462-8326

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1861197212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5103D BACKLICK RD",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036079",
            "telephone_number": "703-462-8326",
            "fax_number": "703-462-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5103D BACKLICK RD",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036079",
            "telephone_number": "703-407-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME LIFE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-04",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HAKAMI",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "571-400-9300"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.