Potomac Center

LBN: Crystal City Nursing Center, Inc.
Potomac Center is an health care organization with primary practice located at 1785 S Hayes St , Arlington VA 22202-2714. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Crystal City Nursing Center, Inc. can be contacted via phone (703) 920-5700, or through Dropeskey, Jane via phone (610) 925-4231.

Contact Information

Primary practice address
1785 S Hayes St Arlington VA 22202-2714
Fax: (703) 979-8190
Website:
Authorized official contact:
Name: Dropeskey, Jane

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH2655 Virginia

Profile Details

NPI number 1104861038
LBN Legal business name Crystal City Nursing Center, Inc.
DBA Doing business as Potomac Center
Authorized official Dropeskey, Jane
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2006
Last updated Aug 17th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104861038 NPPES
District of Columbia MEDICAID 030909900
District of Columbia Other 02PV
District of Columbia Other 241381
District of Columbia Other H18
District of Columbia Other 47579
District of Columbia Other H18
District of Columbia Other 147180
District of Columbia Other 7100077
District of Columbia MEDICAID 004951140
District of Columbia Other 0082366

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