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PROSPECT HOMECARE AGENCY
NPI 1730582107
Home Health in Fairfax, VA

Active since September 30, 2014CLIA 49D2106434 · Waiver
8315 LEE HIGHWAY, SUITE 302, FAIRFAX, VA 22031(703) 663-8864(703) 997-7727 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prospect Homecare Agency NPPES

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

PROSPECT HOMECARE AGENCY (NPI 1730582107) is a healthcare organization registered as a home health in Fairfax, Virginia and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through December 1, 2026 and lists Hisham Abdelwahab, Administrator, as its authorized official.

NPPES Registry Identity

NPI1730582107
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePROSPECT HOMECARE AGENCY
Location Address8315 LEE HIGHWAY, SUITE 302Fairfax, VA 22031
Mailing Address8315 Lee Highway, Suite 302Fairfax, VA 22031 · (703) 663-8864 · Fax (703) 997-7727
Phone(703) 663-8864
Fax(703) 997-7727
Organization SubpartNo
Authorized OfficialHisham AbdelwahabAdministrator · (412) 925-9937
Enumeration DateSeptember 30, 2014
Last NPPES UpdateFebruary 27, 2025
NPPES CertifiedFebruary 27, 2025
✔ NPI 1730582107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in VA · HC0151203
Definition
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.
8315 LEE HIGHWAY, Fairfax, VA 22031
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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 49D2106434

Prospect Homecare Agency · Fairfax, VA
Active · expires Dec 1, 2026
CLIA Number49D2106434
Laboratory TypeHome Health Agency
Certificate Effective DateDecember 2, 2024
Certificate Expiration DateDecember 1, 2026
Laboratory DirectorHisham Abdefwahab
Laboratory Phone(703) 663-8864
Laboratory LocationProspect Homecare Agency8315 Lee Hwy, Suite 302, Fairfax, VA 22031
CLIA data matches this NPI record on: Address Name 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 Prospect Homecare Agency's NPI number?

The NPI number for Prospect Homecare Agency is 1730582107. It was assigned to this organization in the NPPES registry on September 30, 2014.

Where is Prospect Homecare Agency located?

Prospect Homecare Agency is located at 8315 Lee Highway Suite 302, Fairfax, VA 22031. The listed phone number is (703) 663-8864.

What is Prospect Homecare Agency's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Prospect Homecare Agency hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2106434) is associated with this NPI, valid through December 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prospect Homecare Agency was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.