NPIMap

Organization Active NPI

Prospect Nursing Services LLC

  • Home Health Agency
  • Frederick, MD
National Provider Identifier
1508726571
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROSPECT NURSING SERVICES LLC
Practice address
2104 Caisson Rd
Frederick, MD 21702-6806
Phone
(240) 483-8030
NPI assigned
Nov 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Bintu Fofanah
Title
Owner
Phone
(240) 483-8030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2104 Caisson Rd
Frederick, MD 21702-6806

Mailing address

2104 Caisson Rd
Frederick, MD 21702-6806
Phone (240) 483-8030

National Provider Directory

National Provider Directory
Tax ID family
Prospect Nursing Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1508726571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 CAISSON RD",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217026806",
            "telephone_number": "240-483-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 CAISSON RD",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217026806",
            "telephone_number": "240-483-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT NURSING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-10-18",
        "status": "A",
        "authorized_official_last_name": "FOFANAH",
        "authorized_official_first_name": "BINTU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-483-8030"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.