Goodwin House Alexandria

LBN: Goodwin House Incorporated
Goodwin House Alexandria is an health care organization with primary practice located at 4800 Fillmore Ave , Alexandria VA 22311-5070. 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. Goodwin House Incorporated can be contacted via phone (703) 824-1290, or through Anderson, Kathleen S via phone (703) 824-1355.

Contact Information

Primary practice address
4800 Fillmore Ave Alexandria VA 22311-5070
Fax: (703) 824-1241
Website:
Authorized official contact:
Name: Anderson, Kathleen S

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH2560 Virginia

Profile Details

NPI number 1629069851
LBN Legal business name Goodwin House Incorporated
DBA Doing business as Goodwin House Alexandria
Authorized official Anderson, Kathleen S
Entity Organization
Organization subpart 1 No
Enumeration date Nov 5th, 2005
Last updated Jan 11th, 2013 - about 11 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 1629069851 NPPES
Virginia MEDICAID 4950577

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