Healthcare Provider Details

I. General information

NPI: 1710842109
Provider Name (Legal Business Name): PREP PROVIDING RESOURCES TO EMPOWER PEOPLE CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6620 ELK PARK CT
ALEXANDRIA VA
22310-2438
US

IV. Provider business mailing address

6620 ELK PARK CT
ALEXANDRIA VA
22310-2438
US

V. Phone/Fax

Practice location:
  • Phone: 202-439-9123
  • Fax:
Mailing address:
  • Phone: 202-439-9123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code364SH0200X
TaxonomyHome Health Clinical Nurse Specialist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: SHEINAH COPELAND
Title or Position: NURSE CONSULTANT
Credential: RN MSN
Phone: 202-413-5928