Organization · Type 2 NPI

Three Finger Jack LLC

In Home Supportive Care Agency · Manassas, VA

NPI number 1033008461 Active

Practice location

10432 Balls Ford Rd Ste 300
Manassas, VA 20109-2517

Specialties and licenses

Taxonomy	Code	License
In Home Supportive Care Agency Primary	253Z00000X	None listed
Attendant Care Provider	3747A0650X	None listed
Personal Care Attendant	3747P1801X	None listed

In Home Supportive Care Agency: An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medicatio…

56 other providers at this address

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NPI record

NPI: 1033008461
Entity type: Organization (Type 2)
Issued: Jul 1, 2025
Last updated: Jun 2, 2026
Status: Active

Other names

<unavail>
Executive Home Care of Manassas · doing business as
Executive Home Care of Manassas · doing business as

Authorized official

Mr. Ryan McBroom
Owner Operator
(540) 424-3991

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1033008461

Three Finger Jack LLC's National Provider Identifier is 1033008461, issued on Jul 1, 2025. The primary taxonomy on file is In Home Supportive Care Agency (253Z00000X), and the practice location is in Manassas, VA. The record was last updated on Jun 2, 2026.