THREE FINGER JACK LLC
NPI 1033008461
In Home Supportive Care in Manassas, VA

Q: What is Three Finger Jack LLC's NPI number?

The NPI number for Three Finger Jack LLC is 1033008461. It was assigned to this organization in the NPPES registry on July 1, 2025. The provider is doing business as Executive Home Care of Manassas.

Q: What is Three Finger Jack LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Active since July 01, 2025

10432 BALLS FORD RD STE 300, MANASSAS, VA 20109(703) 936-5545 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 2, 2026, Jul 1, 2025 (2 updates tracked since 2025).

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About Three Finger Jack Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THREE FINGER JACK LLC (NPI 1033008461), doing business as Executive Home Care Of Manassas, is a healthcare organization registered as an in home supportive care in Manassas, Virginia and active in the NPI registry since July 2025. The organization lists Ryan Mcbroom, Owner Operator, as its authorized official.

NPPES Registry Identity

NPI1033008461

Entity TypeOrganization

Primary Taxonomy253Z00000X

Legal Business NameTHREE FINGER JACK LLC

Location Address10432 BALLS FORD RD STE 300Manassas, VA 20109-2517

Mailing Address10432 Balls Ford Rd Ste 300Manassas, VA 20109-2517

Phone(703) 936-5545

Organization SubpartNo

Authorized OfficialRyan McbroomOwner Operator · (540) 424-3991

Enumeration DateJuly 1, 2025

Last NPPES UpdateJune 2, 20262 updates tracked since enumeration

NPPES CertifiedJune 2, 2026

✔ NPI 1033008461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

Definition

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 medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Also ListedTechnician · Attendant Care ProviderTaxonomy 3747A0650X

Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X

10432 BALLS FORD RD STE 300, Manassas, VA 20109

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Other Names 1

Doing Business AsExecutive Home Care Of Manassas

Other Identifiers 1

OtherHCO-0006094VA · State Home Care License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANNA DIXON IBCLC

Lactation Consultant, Non-RN