Active NPI
Forever Caring Wellness & Learning Center
- Primary Care Nurse Practitioner
- Stafford, VA
National Provider Identifier
1396613022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- FOREVER CARING WELLNESS & LEARNING CENTER
- Practice address
- 24 Onville Rd Ste 101D-11
Stafford, VA 22556-3831 - Phone
- (540) 768-9454
- Fax
- (919) 925-6440
- NPI assigned
- Oct 24, 2025
- Last updated
- Sep 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Phanta Jah, AGPCNP
- Title
- NP
- Phone
- (540) 768-9454
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
24 Onville Rd Ste 101D-11
Stafford, VA 22556-3831
Mailing address
24 Onville Rd Ste 101D-11
Stafford, VA 22556-3831
Phone (540) 768-9454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Primary Care Nurse Practitioner
- Falls Church, VA
- NPI 1174296461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788393600000",
"number": "1396613022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 ONVILLE RD STE 101D-11",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225563831",
"telephone_number": "540-768-9454",
"fax_number": "919-925-6440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 ONVILLE RD STE 101D-11",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225563831",
"telephone_number": "540-768-9454",
"fax_number": "919-925-6440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOREVER CARING WELLNESS & LEARNING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-24",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A",
"authorized_official_last_name": "JAH",
"authorized_official_first_name": "PHANTA",
"authorized_official_title_or_position": "NP",
"authorized_official_telephone_number": "540-768-9454",
"authorized_official_credential": "AGPCNP"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stafford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.