Goodwin House Bailey'S Crossroads

LBN: Goodwin House Incorporated
Goodwin House Bailey'S Crossroads 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 Carter, Richard T. via phone (703) 824-1355.

Contact Information

Primary practice address
4800 Fillmore Ave Alexandria VA 22311-5070
Phone: (703) 824-1290
Fax: (703) 824-1241
Website:
Map and Directions
Authorized official contact:
Name: Carter, Richard T. CPA
Phone: (703) 824-1355

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH2559 Virginia

Profile Details

NPI number 1639258676
LBN Legal business name Goodwin House Incorporated
DBA Doing business as Goodwin House Bailey'S Crossroads
Authorized official Carter, Richard T. CPA
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2006
Last updated Mar 29th, 2011 - about 13 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 1639258676 NPPES
Virginia MEDICAID 4951719

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