Provider Demographics
NPI:1174886980
Name:TRISTATE QUALITY CARE CORP
Entity type:Organization
Organization Name:TRISTATE QUALITY CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HISHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:RADWAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-665-3566
Mailing Address - Street 1:7202 FORDSON RD
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22306-7217
Mailing Address - Country:US
Mailing Address - Phone:202-629-8573
Mailing Address - Fax:
Practice Address - Street 1:7202 FORDSON RD
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306-7217
Practice Address - Country:US
Practice Address - Phone:202-629-8573
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-18
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health