# PROSPECT HOMECARE AGENCY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730582107
- **Authorized official:** MR. HISHAM ABDELWAHAB (ADMINISTRATOR)
- **Authorized official phone:** (412) 925-9937

## Contact information

- **Practice address:** 8315 LEE HIGHWAY, SUITE 302, FAIRFAX, VA 22031
- **Practice address phone:** (703) 663-8864
- **Practice address fax:** (703) 997-7727
- **Mailing address:** 8315 LEE HIGHWAY, SUITE 302, FAIRFAX, VA 22031
- **Mailing address phone:** (703) 663-8864
- **Mailing address fax:** (703) 997-7727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HC0151203 | VA | Yes |

## Other

- **Enumeration date:** 09/30/2014
- **Last updated:** 02/27/2025