NPIMap

Organization Active NPI

Pro Healthcare Servicing, LLC

  • Home Health Agency
  • Fairfax, VA
National Provider Identifier
1184879975
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRO HEALTHCARE SERVICING, LLC
Practice address
8315 Route 29 Ste 202
Fairfax, VA 22031-2215
Phone
(703) 352-1939
Fax
(703) 352-2294
NPI assigned
Nov 21, 2008
Last updated
Jul 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Authorized official

Name
Mr. Erwin Cheng, PTNPI 1225542012
Title
PT Clinical Director
Phone
(703) 352-1939

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

8315 Route 29 Ste 202
Fairfax, VA 22031-2215

Mailing address

8315 Route 29 Ste 202
Fairfax, VA 22031-2215
Phone (703) 352-1939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090902000495 VA Part A Provider - Home Health Agency 4486709029 1 other NPI on this enrollment
Practice locations: Fairfax, VA
O20150611000278 VA Part A Provider - Hospice 4486709029 Practice locations: Fairfax, VA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1184879975. Details of each certification follow.

Home health agency certification: CCN 497656

Legal name
PRO HEALTHCARE SERVICING,LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 26, 2010
Last certification
Mar 24, 2016
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Nov 1, 2008 in VA
Enrollment address
8315 Lee Hwy 202
Fairfax, VA 22031-2215

Hospice certification: CCN 491629

Legal name
PRO HEALTHCARE SERVICING,LLC
Doing business as
PHS HOSPICE CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 4, 2018
Last certification
Apr 4, 2018
Ownership / control type
Proprietary - Individual
Organization structure
LLCProprietary
Incorporated
Apr 4, 2018 in VA
Enrollment address
8315 Lee Hwy
Ste 202
Fairfax, VA 22031-2215

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Pro Healthcare Servicing LLCCCN 497656 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
May 26, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Care Compare: Hospice

Medicare Care Compare
Listed as
PHS Hospice CareCCN 491629 · All quality measures
Ownership
For-Profit
Certified
Apr 4, 2018
Medicare certification status
ActiveFrom the Provider of Services file

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
49D1106235Pro Healthcare Servicing, LLC8315 Lee Highway - Suite 202, Fairfax, VA 22031Certificate of waiverOct 7, 2027

National Provider Directory

National Provider Directory
Tax ID family
Pro Healthcare Servicingllc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10807 Main St
Ste 700
Fairfax, VA 22030
Phone (703) 352-1939

8315 Route 29
Ste 202
Fairfax, VA 22031
Phone (703) 352-1939

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
Erwin T Cheng Individual 5% Or Greater Direct Ownership Interest Nov 20, 2013 100%
Corporate OfficerCeo Oct 1, 2008
5% Or Greater Direct Ownership Interest Apr 29, 2014 100%
Regina Fabros Individual W-2 Managing EmployeeManager Mar 21, 2012
W-2 Managing EmployeeGeneral Manager Apr 29, 2014

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

Affiliated clinicians 11

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": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1184879975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8315 ROUTE 29 STE 202",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312215",
            "telephone_number": "703-352-1939",
            "fax_number": "703-352-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8315 ROUTE 29 STE 202",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312215",
            "telephone_number": "703-352-1939",
            "fax_number": "703-352-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO HEALTHCARE SERVICING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "ERWIN",
        "authorized_official_title_or_position": "PT CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "703-352-1939",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.