PRINCE WILLIAM HOSPITAL (NPI# 1396827036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396827036 |
| Entity Type | Organization |
| Organization Name | PRINCE WILLIAM HOSPITAL |
| Practice Address |
8609 Sudley Rd Suite 201 Manassas VA 20110-8321 |
| Practice Telephone | 7033698448 |
| Practice Fax Number | 7033698667 |
| Mailing Telephone | 7033698448 |
| Mailing Fax Number | 7033698667 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2009-08-19 |
| Authorized Official Name | MR. ROBERT W RILEY (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7033698021 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 4974123 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356997357 | Prince William Hospital | General Acute Care Hospital | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2019-08-15 |
| 1588122410 | Prince William Hospital | General Acute Care Hospital | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-03-11 |
| 1245745504 | Prince William Hospital | General Acute Care Hospital | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2017-12-08 |
| 1841657434 | Prince William Hospital | Nurse Anesthetist, Certified Registered | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2016-01-27 |
| 1568852614 | Prince William Hospital | General Acute Care Hospital | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2015-01-28 |
| 1972906212 | Prince William Hospital | Pharmacy | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2014-10-01 |
| 1124369137 | Prince William Hospital | General Acute Care Hospital | 15225 Heathcote Blvd, Haymarket, VA 20169 | 2013-03-15 |
| 1992095079 | Prince William Hospital | Pediatrics | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2011-04-11 |
| 1205987898 | Prince William Hospital | Psychiatric Hospital | 8680 Hospital Way, Manassas, VA 20110 | 2007-01-12 |
| 1417005760 | Prince William Hospital | General Acute Care Hospital | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2007-01-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | PRINCE WILLIAM HOSPITAL | 8700 Sudley Rd, Manassas, Virginia 20110 |
| Street Address |
8609 SUDLEY RD SUITE 201 |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-8321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467409961 | Abdullah Al Farooque | Internal Medicine | 8609 Sudley Rd, Suite 105, Manassas, VA 20110-4500 | 2006-05-28 |
| 1144865999 | Eleny Tadese Gebre | Nurse Practitioner | 8609 Sudley Rd, Manassas, VA 20110-8321 | 2019-11-14 |
| 1790226942 | Cory Lucas | Nurse Practitioner | 8609 Sudley Rd, Ste 105, Manassas, VA 20110-8321 | 2017-03-20 |
| 1427407527 | Sudley Pharmacy | Durable Medical Equipment & Medical Supplies | 8609 Sudley Rd, Manassas, VA 20110-8321 | 2016-06-09 |
| 1306292552 | Lisa Anne Cornelius | Social Worker | 8609 Sudley Rd, Suite 201, Manassas, VA 20110-8321 | 2016-05-06 |
| 1982963328 | Phoenix Counseling Services | Counselor | 8609 Sudley Rd, Suite 201, Manassas, VA 20110-8321 | 2012-05-04 |
| 1093006157 | Physiotherapy Associates Inc | Clinic/Center | 8609 Sudley Rd, Suite 105, Manassas, VA 20110-8321 | 2011-04-25 |
| 1346495850 | Kevin C Mendes | Dentist | 8609 Sudley Rd, Suite #102, Manassas, VA 20110-8321 | 2008-11-25 |
| 1912065863 | Valley Health Clinic Inc | Specialist | 8609 Sudley Rd, Suite 105, Manassas, VA 20110-4500 | 2006-12-04 |
| 1275549321 | Roselle Stark | Counselor | 8609 Sudley Rd, Suite 201, Manassas, VA 20110-8321 | 2006-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| 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 |
|---|---|---|---|---|
| 1518574474 | A.i.wellness | Home Health | 11114 Wortham Crest Cir, Manassas, VA 20109-5689 | 2020-09-24 |
| 1023626454 | Be Well Home Health Care, LLC | Home Health | 8409 Dorsey Cir Ste 201, Manassas, VA 20110-8305 | 2020-07-22 |
| 1013557248 | Northern Virginia Caregivers Inc. | Home Health | 9161 Liberia Ave Ste 203, Manassas, VA 20110-1723 | 2020-01-15 |
| 1831735307 | Hand To Hand Care | Home Health | 7900 Sudley Rd Ste 302g, Manassas, VA 20109-2806 | 2019-11-20 |
| 1841762853 | Jessica Guruprasad | Home Health | 9720 Capital Ct Ste 104, Manassas, VA 20110-2049 | 2019-01-02 |
| 1679049209 | Caring Hearts Homecare Inc. | Home Health | 7960 Donegan Dr Ste 201, Manassas, VA 20109-8236 | 2018-10-22 |
| 1619458510 | Amrit Home Healthcare, LLC | Home Health | 9720 Capital Ct Ofc 7, Manassas, VA 20110-2044 | 2018-08-28 |
| 1710482468 | Adwoa Kwartemah | Home Health | 8803 Sudley Rd, Manassas, VA 20110-4739 | 2018-03-26 |
| 1891293320 | Americas Home Health Care Inc | Home Health | 8811 Sudley Rd Ste 102, Manassas, VA 20110-4750 | 2018-01-30 |
| 1205358561 | Trusthaven Homecare | Home Health | 8809 Sudley Rd Ste 221, Manassas, VA 20110-4749 | 2017-07-07 |
| Find all providers in MANASSAS | ||||
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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.