PROSPECT HOMECARE AGENCY (NPI# 1730582107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730582107 |
| Entity Type | Organization |
| Organization Name | PROSPECT HOMECARE AGENCY |
| Practice Address |
5568 General Washington Drive Suite A 203 Alexandria VA 22312 |
| Mailing Address |
5568 General Washington Drive Suite A203 Alexandria VA 22312 |
| Practice Telephone | 7036638864 |
| Practice Fax Number | 7039977727 |
| Mailing Telephone | 7036638864 |
| Mailing Fax Number | 7039977727 |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2016-04-06 |
| Authorized Official Name | MS. SHEINAH PRUDENT (DIRECTOR OF NURSING (OWNER)) |
| Authorized Official Telephone | 2024135928 |
| Authorized Official Credential | RN, MSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | HC0151203 | VA | Agencies |
| Street Address |
5568 GENERAL WASHINGTON DRIVE SUITE A 203 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639710429 | Lake Barcroft Dental Group, PC | Dentist | 6464 A1 Lincolnia Rd, Alexandria, VA 22312 | 2019-10-02 |
| 1538684790 | Feras Ibrahim Hawari | Internal Medicine | 4714 Minor Cir, Alexandria, VA 22312 | 2017-08-09 |
| 1285081984 | Nicole Heidbreder Lehr | Behavioral Analyst | 5400 Shawnee Rd Ste 208, Alexandria, VA 22312 | 2016-05-23 |
| 1922486372 | Fassity Home Care LLC | Home Health | 6601 Little River Turn Pike, Suit 210, Alexandria, VA 22312 | 2015-05-18 |
| 1396926952 | Fairfax Home Health Care, Inc. | Home Health | 4810 Beauregard Street, Suite G4, Alexandria, VA 22312 | 2007-11-23 |
| 1114047768 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 5590 General Washington Drive, Alexandria, VA 22312 | 2007-03-29 |
| 1548339682 | Virginia Pathology Svcs PC | Pathology | 6121 Lincolnia Rd, Suite 108, Alexandria, VA 22312 | 2006-11-06 |
| 1336150531 | Joel Carlton Goldstein | Dentist | 4605 B Pinecrest Office Park Dr, Alexandria, VA 22312 | 2006-08-11 |
| 1619915923 | Jong K Lee | Family Medicine | 4605 A Pinecrest Office, Alexandria, VA 22312 | 2006-06-02 |
| 1366408817 | Paula A Manion | Nurse Practitioner | 6303 Little River Tpke, # 300, Alexandria, VA 22312 | 2006-04-25 |
| Find all providers in zip 22312 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949119 | Virginia Healthcare Home Services | Home Health | 6186 Edsall Rd Apt 147, Alexandria, VA 22304-5888 | 2020-10-14 |
| 1063026425 | Natasha Guidry | Home Health | 4051 Bayou Rapides Rd Apt 702, Alexandria, LA 71303-4062 | 2020-09-03 |
| 1124639471 | Medina Healthcare Services LLC | Home Health | 8639 Engleside Office Park Ste C, Alexandria, VA 22309-4132 | 2020-08-11 |
| 1568080471 | 1faith Compassion Home Care, LLC | Home Health | 8738 Talbott Farm Dr, Alexandria, VA 22309-4342 | 2020-07-07 |
| 1306467964 | Blue Beginning Health, Inc. | Home Health | 2000 Duke St Ste 300, Alexandria, VA 22314-6101 | 2020-05-05 |
| 1104447374 | Bunny Home Health Care, Ll C | Home Health | 7759 Sullivan Cir, Alexandria, VA 22315-6076 | 2020-04-29 |
| 1053932459 | Classic Nurses Services Inc. | Home Health | 85 S Bragg St Ste 103, Alexandria, VA 22312-2793 | 2020-04-27 |
| 1740816800 | Hope Home Care Services, LLC | Home Health | 5680 King Centre Dr Ste 629, Alexandria, VA 22315-5755 | 2020-03-19 |
| 1811528698 | Heartbeat Homecare Agency LLC | Home Health | 5680 King Centre Dr Ste 653, Alexandria, VA 22315-5755 | 2020-01-30 |
| 1083245112 | Apex Classic Home Health Care | Home Health | 4711 Lauriefrost Ct., Alexandria, VA 22309 | 2020-01-28 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22312 |
Please comment or provide details below to improve the information on PROSPECT HOMECARE AGENCY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.