COMPASSUS OP OF VIRGINIA LLC (NPI# 1043754708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043754708 |
Entity Type | Organization |
Organization Name | COMPASSUS OP OF VIRGINIA LLC |
Other Organization Name | COMPASSUS - RESTON |
Practice Address |
12018 Sunrise Valley Dr Ste 400 Reston VA 20191-3432 |
Mailing Address |
10 Cadillac Drive Ste 400 Brentwood TN 37027-3432 |
Practice Telephone | 5712625200 |
Practice Fax Number | 5715217249 |
Mailing Telephone | 6153777022 |
Mailing Fax Number | 6153734457 |
Enumeration Date | 2016-12-14 |
Last Update Date | 2017-08-24 |
Authorized Official Name | ANTHONY JAMES (PRESIDENT) |
Authorized Official Telephone | 6152248028 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251G00000X | Hospice Care, Community Based | Agencies |
Other Name | Type Code |
---|---|
Compassus - Reston | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215487483 | Compassus Op of Virginia LLC | Hospice Care, Community Based | 14900 Conference Center Dr Ste 170, Chantilly, VA 20151-3831 | 2016-10-11 |
1689119877 | Compassus Op of Virginia LLC | Internal Medicine | 14900 Conference Center Dr Ste 170, Chantilly, VA 20151-3831 | 2016-12-27 |
Street Address |
12018 SUNRISE VALLEY DR STE 400 |
City | RESTON |
State | VA |
Zip Code | 20191-3432 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295742419 | Thomas S Sullivan | Family Medicine | 12018 Sunrise Valley Dr, Suite 400, Reston, VA 20191-3432 | 2006-08-01 |
1932719994 | Amber Jade Allen | Nurse Practitioner | 12018 Sunrise Valley Dr, Reston, VA 20191-3432 | 2020-08-05 |
1861955031 | Lois Tatum Penn | Nurse Practitioner | 12018 Sunrise Valley Dr, Reston, VA 20191-3432 | 2019-04-12 |
1174015614 | Lindsay Anne Keene | Nurse Practitioner | 12018 Sunrise Valley Dr, Reston, VA 20191 | 2018-05-31 |
1548767874 | Linda Sue Duty | Nurse Practitioner | 12018 Sunrise Valley Dr, Reston, VA 20191-3432 | 2018-04-12 |
1548713233 | Pamela Noelle Montenegro | Registered Nurse | 12018 Sunrise Valley Dr, Suite 400, Reston, VA 20191-3432 | 2016-07-28 |
1366807539 | Emily Nicole Ollis | Nurse Practitioner | 12018 Sunrise Valley Dr, Ste 400, Reston, VA 20191-3432 | 2015-12-15 |
1073984142 | Optum Palliative and Hospice Care | Chronic Disease Hospital | 12018 Sunrise Valley Dr, Suite 400, Reston, VA 20191-3432 | 2015-10-14 |
1871964544 | Yvonne Elizabeth Mcmillan | Nurse Practitioner | 12018 Sunrise Valley Dr, Suite 400, Reston, VA 20191-3432 | 2015-10-07 |
1780967232 | Sandra Bruce Nichols | Family Medicine | 12018 Sunrise Valley Dr, Suite 400, Reston, VA 20191-3432 | 2011-09-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275150518 | Grace Andales Soistman | Nurse Practitioner | 11160 South Lakes Dr. Reston, Va 20191, Reston, VA 20191 | 2020-07-02 |
1790317709 | Twenty Four/7 LLC | Private Vehicle | 11922 Winterthur Ln, 103, Reston, VA 20191 | 2020-02-07 |
1437626058 | Aramesh Darvishian Dds Pllc | Dentist | 12040 South Lakes Dr. Suite 200, Reston, VA 20191 | 2018-11-01 |
1992282693 | Ashkan Ghods | Home Health | 11760 Sunrise Valley Dr, #405, Reston, VA 20191 | 2018-07-25 |
1104319698 | Capital Critical Care & Informatics PC | Internal Medicine | 11890 Sunrise Valley Dr # 442, Reston, VA 20191 | 2018-06-11 |
1063930683 | Mackenzie Marie Evans | Specialist/Technologist | 2380 Branleigh Park Ct, Reston, VA 20191 | 2017-09-04 |
1073910345 | Jane L Mahan-wiegand | Dietitian, Registered | 1900 Campus Commons Drive, Suite 100, Reston, VA 20191 | 2014-12-02 |
1700214293 | Sonny Sunghun Kim | Dentist | 11876 Sunrise Valley Drive, 101, Reston, VA 20191 | 2013-10-22 |
1982036786 | Stephanie Lourdes Miller | Physician Assistant | 12040 South Lakes Drive, Suite 207, Generations Family Practice, Reston, VA 20191 | 2013-08-02 |
1316250988 | Thao Ngoc Vuong | Pharmacist | 1898 Winterport Cluster, Reston, VA 20191 | 2010-07-23 |
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Taxonomy Code | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487607040 | Optum Palliative and Hospice Care, Inc. | Hospice Care, Community Based | 12018 Sunrise Valley Drive, Suite 401, Reston, VA 20191-3434 | 2006-05-17 |
1427432624 | The Medical Team, Inc | Hospice Care, Community Based | 1902 Campus Commons Dr, Suite 650a, Reston, VA 20191 | 2015-07-17 |
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1073112678 | A Step Above Health Services | Hospice Care, Community Based | 2450 Randolph Creek Rd, New Canton, VA 23123-2418 | 2020-10-23 |
1881293835 | Riverside Health Source LLC | Hospice Care, Community Based | 289 Hospital Rd, Tappahannock, VA 22560-5145 | 2020-10-21 |
1699373449 | Affinity Care of Virginia LLC | Hospice Care, Community Based | 714 Thimble Shoals Blvd Ste C, Newport News, VA 23606-2574 | 2020-10-14 |
1730786138 | Serenity First, LLC | Hospice Care, Community Based | 4915 Fitzhugh Ave, Richmond, VA 23230-3544 | 2020-10-08 |
1477169811 | Advance Care Hospice, LLC | Hospice Care, Community Based | 585 Southlake Blvd Ste A, North Chesterfield, VA 23236-3198 | 2020-09-21 |
1689285660 | Va State Transportation LLC | Hospice Care, Community Based | 11079 Quail Whistle Dr, Glen Allen, VA 23059-5200 | 2020-08-12 |
1386263499 | Trinity Hospice 1, LLC | Hospice Care, Community Based | 1401 Kempsville Road, Suite A, Unit 1, Chesapeake, VA 23320 | 2020-04-09 |
1114550134 | Athc - Hospice, LLC | Hospice Care, Community Based | 1121 Heatherstone Dr, Fredericksburg, VA 22407-4828 | 2020-02-18 |
1548893951 | 24/7 We Care, LLC | Hospice Care, Community Based | 900 Granby St, Norfolk, VA 23510-2503 | 2020-02-14 |
1548806573 | All-4-one Home Healthcare Services, Inc. | Hospice Care, Community Based | 1629 Salem Rd Ste 101, Virginia Beach, VA 23456-5494 | 2019-11-25 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.