WOODBINE CONVALESCENT & NURSING CARE LLC (NPI# 1497830038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497830038 |
| Entity Type | Organization |
| Organization Name | WOODBINE CONVALESCENT & NURSING CARE LLC |
| Other Organization Name | WOODBINE REHABILITATION & HEALTHCARE LLC |
| Practice Address |
2729 King St Alexandria VA 22302-4008 |
| Mailing Address |
12093 Gayton Rd Richmond VA 23238-3401 |
| Practice Telephone | 7038368838 |
| Practice Fax Number | 7038362965 |
| Mailing Telephone | 8045210550 |
| Mailing Fax Number | 8045210555 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GRAHAM L ADELMAN (PRESIDENT) |
| Authorized Official Telephone | 8045210550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH2732 | VA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | BCBS PROVIDER NUMBER | GU8 | 01 |
| VA | MAMSI/OCI PROVIDER NUMBER | 312386 | 01 |
| Other Name | Type Code |
|---|---|
| Woodbine Rehabilitation & Healthcare LLC | Doing Business As Name - Organization |
| Street Address |
2729 KING ST |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22302-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518982032 | Joseph Vincent Ferraro | Physical Medicine & Rehabilitation | 2729 King St, Alexandria, VA 22302-4008 | 2006-07-13 |
| 1174172217 | Woodbine Operator LLC | Skilled Nursing Facility | 2729 King St, Alexandria, VA 22302-4008 | 2019-09-11 |
| 1205100302 | Neuromuscular, Spine and Joint Care Specialists, Pllc | Physical Medicine & Rehabilitation | 2729 King St, Alexandria, VA 22302-4008 | 2012-03-07 |
| 1891092714 | Heather Renee Starbuck | Occupational Therapist | 2729 King St, Alexandria, VA 22302-4008 | 2011-02-14 |
| 1790097392 | Michael D. Lieberman, M.d.,pllc | Family Medicine | 2729 King St, Alexandria, VA 22302-4008 | 2010-07-12 |
| 1356574867 | Regina Joanne Kasun | Nurse Practitioner | 2729 King St, Alexandria, VA 22302-4008 | 2009-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245708288 | Jessica Frances Porzel | Nurse Practitioner | 4700 King St # 100, Alexandria, VA 22302 | 2018-11-07 |
| 1649696584 | Tiffany Edwards | General Acute Care Hospital | 3430 Larchmont Avenue Apt 541, Alexandria, VA 22302 | 2014-03-17 |
| 1396051744 | Cyndi Chan Lam | Pharmacist | 3614 King Street, Alexandria, VA 22302 | 2010-08-24 |
| 1871746206 | Carol Anne Burgess | Nurse Anesthetist, Certified Registered | 4216 King St, Alexandria, VA 22302 | 2008-10-29 |
| 1497907711 | Stephen Xavier Giunta | Plastic Surgery | 4216 King Street, King Street West Office Park, Alexandria, VA 22302 | 2008-10-17 |
| 1386892800 | Dr. Catherine P. Nguyen P.C. | Dentist | 5142 Leesburg Pike, Alexandria, VA 22302 | 2008-09-09 |
| 1013172972 | Dr. Tarek Ashmawy Dds | Clinic/Center | 5136 Leesburg Pike, Chantilly, VA 22302 | 2008-07-21 |
| 1346363769 | Robert Bregman | Pediatrics | 4480 King St., Alex Health Dept, Alexandria, VA 22302 | 2007-04-09 |
| 1356460331 | Integrated Medical Care and Rehab.,pc | Physical Medicine & Rehabilitation | 4600 King Street, Suite 4r, Alexandria, VA 22302 | 2007-03-28 |
| 1205917200 | Roma White Farge | Social Worker | 2202 Minor Street, Alexandria, VA 22302 | 2006-10-17 |
| Find all providers in zip 22302 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154455343 | Ecumen | Skilled Nursing Facility | 1020 Lark St, Alexandria, MN 56308-2219 | 2007-03-16 |
| 1336298470 | Baptist Convalescent Center, Inc. | Skilled Nursing Facility | 7341 E Alexandria Pike, Alexandria, KY 41001-1037 | 2007-01-09 |
| 1245399500 | Witham Memorial Hospital | Skilled Nursing Facility | 1912 S Park Ave, Alexandria, IN 46001-8193 | 2006-12-06 |
| 1033207162 | St Frances Nursing & Rehabilitation Center | Skilled Nursing Facility | 3844 Independence Dr, Alexandria, LA 71303-3533 | 2006-10-11 |
| 1972524858 | Fmrm,llc | Skilled Nursing Facility | 5100 Jackson Street Ext, Alexandria, LA 71303-2317 | 2006-07-23 |
| 1104861673 | Manor Care of Alexandria Va LLC | Skilled Nursing Facility | 1510 Collingwood Rd, Alexandria, VA 22308-1605 | 2006-06-18 |
| 1467490912 | Lexington House LLC | Skilled Nursing Facility | 16 Heyman Ln, Alexandria, LA 71303-3523 | 2006-06-04 |
| 1912950924 | Fountains Washington House Sl, LLC | Skilled Nursing Facility | 5100 Fillmore Ave, Alexandria, VA 22311-5069 | 2006-05-19 |
| 1356399299 | Community Care Center of Alexandria, LLC | Skilled Nursing Facility | 3343 Masonic Drive, Alexandria, LA 71301-3898 | 2006-05-04 |
| 1689649790 | Knute Nelson | Skilled Nursing Facility | 420 12th Ave E, Alexandria, MN 56308-2612 | 2006-02-22 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22302 |
Please comment or provide details below to improve the information on WOODBINE CONVALESCENT & NURSING CARE LLC.
| 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.