Organization Active NPI

Tristate Quality Care Corp

  • Home Health Agency
  • Alexandria, VA
National Provider Identifier
1174886980
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TRISTATE QUALITY CARE CORP
Practice address
7202 Fordson Rd
Alexandria, VA 22306
Phone
(703) 665-3566
Fax
(866) 766-3167
NPI assigned
Jun 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Hisham RadwanNPI 1861745143
Title
President
Phone
(703) 665-3566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7202 Fordson Rd
Alexandria, VA 22306

Mailing address

7202 Fordson Rd
Alexandria, VA 22306
Phone (703) 665-3566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130125000182 VA Part A Provider - Home Health Agency 4284888314 Practice locations: Alexandria, VA

Home health agency certification: CCN 497700

Legal name
TRISTATE QUALITY CARE, CORP
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 20, 2013
Last certification
Jul 20, 2013
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 24, 2007 in VA
Enrollment address
7202 Fordson Rd
Alexandria, VA 22306-7217

Care Compare: Home health agency

Medicare Care Compare
Listed as
Tristate Quality Care, CorpCCN 497700
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jul 20, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2046850Tristate Quality Care Corp7202 Fordson Road, Alexandria, VA 22306Certificate of waiverSep 11, 2026

National Provider Directory

National Provider Directory

Locations

7202 Fordson Rd
Alexandria, VA 22306
Phone (703) 660-1366

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Hisham Radwan Individual 5% Or Greater Direct Ownership Interest Sep 24, 2007 100%
Corporate OfficerFinancial Officer Sep 24, 2007
Corporate DirectorPresident/Treasurer Sep 24, 2007
W-2 Managing EmployeeAdministrator Jul 24, 2007
Abdul Conteh Individual Corporate DirectorVice President/Secretary Sep 24, 2007
W-2 Managing EmployeeAlternate Administrator Sep 24, 2007

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1174886980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7202 FORDSON RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22306",
            "telephone_number": "703-665-3566",
            "fax_number": "866-766-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7202 FORDSON RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22306",
            "telephone_number": "703-665-3566",
            "fax_number": "866-766-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE QUALITY CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "RADWAN",
        "authorized_official_first_name": "HISHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-665-3566",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.