FOREVER CARING WELLNESS & LEARNING CENTER
NPI 1396613022
Nurse Practitioner - Primary Care in Stafford, VA

Active since October 24, 2025CLIA 49D2349693 · Waiver
24 ONVILLE RD STE 101D-11, STAFFORD, VA 22556(540) 768-9454(919) 925-6440 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 3, 2026, Nov 11, 2025 (2 updates tracked since 2025).

About Forever Caring Wellness & Learning Center NPPES

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

FOREVER CARING WELLNESS & LEARNING CENTER (NPI 1396613022) is a healthcare organization registered as a primary care in Stafford, Virginia and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through August 25, 2028 and lists Phanta Jah, Np, as its authorized official.

NPPES Registry Identity

NPI1396613022
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameFOREVER CARING WELLNESS & LEARNING CENTER
Location Address24 ONVILLE RD STE 101D-11Stafford, VA 22556-3831
Mailing Address24 Onville Rd Ste 101d-11Stafford, VA 22556-3831 · (540) 768-9454 · Fax (919) 925-6440
Fax(919) 925-6440
Organization SubpartNo
Authorized OfficialPhanta JahNp · (540) 768-9454
Enumeration DateOctober 24, 2025
Last NPPES UpdateSeptember 3, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
✔ NPI 1396613022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
24 ONVILLE RD STE 101D-11, Stafford, VA 22556

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Forever Caring Wellness & Learning Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Forever Caring Wellness & Learning Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1174296461
2833 CLEAVE DR.
Falls Church, VA 22042
(800) 969-1104
✔ PECOS✔ Accepts Medicare31 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2349693

Forever Caring Wellness And Learning Center · Stafford, VA
Active · expires Aug 25, 2028
CLIA Number49D2349693
Laboratory TypePhysician Office
Certificate Effective DateAugust 26, 2026
Certificate Expiration DateAugust 25, 2028
Laboratory DirectorPhanta Jah
Laboratory Phone(540) 768-9454
Laboratory LocationForever Caring Wellness And Learning Center24 Onville Rd, Stafford, VA 22556
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Forever Caring Wellness & Learning Center's NPI number?

The NPI number for Forever Caring Wellness & Learning Center is 1396613022. It was assigned to this organization in the NPPES registry on October 24, 2025.

Where is Forever Caring Wellness & Learning Center located?

Forever Caring Wellness & Learning Center is located at 24 Onville Rd Ste 101d-11, Stafford, VA 22556. The listed phone number is (540) 768-9454.

What is Forever Caring Wellness & Learning Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Forever Caring Wellness & Learning Center enrolled in Medicare?

Yes. Forever Caring Wellness & Learning Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Forever Caring Wellness & Learning Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Forever Caring Wellness & Learning Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Forever Caring Wellness & Learning Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2349693) is associated with this NPI, valid through August 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Forever Caring Wellness & Learning Center was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.