GUARDIANLIGHT OF NORTHWESTERN VA INCORPORATED (NPI# 1114399243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114399243 |
| Entity Type | Organization |
| Organization Name | GUARDIANLIGHT OF NORTHWESTERN VA INCORPORATED |
| Other Organization Name | FIRSTLIGHT HOME CARE |
| Practice Address |
3343 Valley Ave Unit # 700 Winchester VA 22602 |
| Mailing Address |
3343 Valley Ave Unit#700 Winchester VA 22602 |
| Practice Telephone | 5404312933 |
| Practice Fax Number | 5407734342 |
| Mailing Telephone | 5404312933 |
| Mailing Fax Number | 5407734342 |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2018-05-18 |
| Authorized Official Name | KENDRA CHRISTINE GHANBARI (OWNER) |
| Authorized Official Telephone | 5409313188 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | HCO-161021 | VA | Agencies |
| Other Name | Type Code |
|---|---|
| FirstLight Home Care | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | GuardianLight of Northwestern VA Incorporated | 3343 Valey Pike, Suite 700, Winchester, Virginia 22602 |
| Street Address |
3343 VALLEY AVE UNIT # 700 |
| City | WINCHESTER |
| State | VA |
| Zip Code | 22602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689225534 | Tracey Lynn Graham | Nurse Practitioner | 202 Heath Ct, Winchester, VA 22602 | 2019-09-23 |
| 1104341197 | Ashley Grooms | Occupational Therapist | 183 Shields Dr, Winchester, VA 22602 | 2017-08-10 |
| 1275053183 | Im Just Me Movement | Local Education Agency (LEA) | 100 Asbury Ct, Winchester, VA 22602 | 2017-06-21 |
| 1750823043 | Crossroads Treatment Center of Winchester, PC | Community/Behavioral Health | 500 Pegasus Ct, Winchester, VA 22602 | 2016-11-17 |
| 1679876171 | Medics Usa Medical Center | Clinic/Center | 290 Front Royal Pike, Winchester, VA 22602 | 2010-12-06 |
| 1679667216 | Rebecca Sue Isenhower | Psychologist | 174 Costello Drive, Winchester, VA 22602 | 2006-10-03 |
| 1548278310 | Brandon Terry Jennings | Pharmacist | 109 Lynnehaven Dr, Winchester, VA 22602 | 2006-08-04 |
| 1386690428 | Alla Yurievna Golovkina-hynes | Ophthalmology | 158 Front Royal Pike Ste 303, Winchester, VA 22602 | 2006-05-26 |
| 1174572283 | Abel C Borromeo V | Chiropractor | 125 Prosperity Dr, Suite 600, Winchester, VA 22602 | 2006-05-08 |
| 1023617859 | Galax Treatment Center, LLC | Clinic/Center | 290 Front Royal Pike, Winchester, VA 22602 | 2020-10-22 |
| Find all providers in zip 22602 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801352257 | Loving Angels Home Care | Home Health | 110 Featherbed Ln Ste 2, Winchester, VA 22601-4456 | 2019-02-11 |
| 1013485481 | Country Touch Homecare, LLC | Home Health | 19255 Us 136, Winchester, OH 45697-0490 | 2018-11-05 |
| 1023599982 | Five Star Medical Staffing LLC | Home Health | 44 S Jefferson St, Winchester, TN 37398-1583 | 2018-08-28 |
| 1649718396 | Hunt Country Health Services | Home Health | 31 S Braddock St Ste 106, Winchester, VA 22601 | 2017-02-02 |
| 1568912186 | Right At Home | Home Health | 110 N Cameron St, Winchester, VA 22601-4730 | 2016-10-06 |
| 1306220298 | Adams County Homecare, LLC | Home Health | 19189 St Rt 136, Winchester, OH 45697 | 2015-07-10 |
| 1760883730 | Hunt Country Health Services | Home Health | 31 S. Braddock Street, Suite 106, Winchester, VA 22601 | 2014-09-10 |
| 1538569223 | Virginia Healthcare Services of Fredericksburg, LLC | Home Health | 3042 Valley Ave, Suite 102, Winchester, VA 22601-2669 | 2014-08-29 |
| 1871917856 | National Lutheran Home for The Aged, Inc. | Home Health | 320 Westside Station Drive, Winchester, VA 22601 | 2014-02-11 |
| 1861731853 | Centra Home Health Care | Home Health | 828 Bypass Rd Ste 2, Winchester, KY 40391-1027 | 2013-02-11 |
| Find all providers in WINCHESTER | ||||
| City | WINCHESTER |
| Zip Code | 22602 |
Please comment or provide details below to improve the information on GUARDIANLIGHT OF NORTHWESTERN VA INCORPORATED.
| 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.