RESTON HOSPITAL CENTER, LLC (NPI# 1538650999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538650999 |
Entity Type | Organization |
Organization Name | RESTON HOSPITAL CENTER, LLC |
Other Organization Name | RESTON HOSPITAL CENTER |
Practice Address |
1850 Town Center Pkwy Reston VA 20190-3219 |
Practice Telephone | 7036899000 |
Mailing Telephone | 7036899000 |
Enumeration Date | 2018-05-22 |
Last Update Date | 2020-10-22 |
Authorized Official Name | DUSTIN J. FOSNESS (CFO) |
Authorized Official Telephone | 7036899000 |
Is Organization Subpart | Y |
Parent Organization Name | RESTON HOSPITAL CENTER, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 273Y00000X | Rehabilitation Unit | Hospital Units |
Other Name | Type Code |
---|---|
Reston Hospital Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407286289 | Reston Hospital Center, LLC | Clinic/Center | 24570 Gum Spring Rd, Dulles, VA 20166-2246 | 2013-11-15 |
1548617863 | Reston Hospital Center, LLC | Radiologic Technologist | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2016-05-17 |
1427117019 | Reston Hospital Center, LLC | General Acute Care Hospital | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2006-12-08 |
1043314438 | Reston Hospital Center, LLC | Orthopaedic Surgery | 1850 Town Center Pkwy, Reston, VA 20190 | 2006-09-07 |
Street Address |
1850 TOWN CENTER PKWY |
City | RESTON |
State | VA |
Zip Code | 20190-3219 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386646420 | Robert A. Shor | Internal Medicine | 1850 Town Center Pkwy, Ste 550, Reston, VA 20190-3219 | 2005-06-01 |
1295357507 | Karina Manicka | Registered Nurse | 1850 Town Center Pkwy, Reston, VA 20190-3204 | 2020-05-08 |
1134777964 | Sharon Kim | Nurse Practitioner | 1850 Town Center Pkwy, Reston, VA 20190-3204 | 2019-08-26 |
1437656014 | Rithika Mohan | Nurse Anesthetist, Certified Registered | 1850 Town Center Pkwy, Reston, VA 20190 | 2018-04-10 |
1447753223 | Cara Elizabeth Butler | Registered Nurse | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2018-03-17 |
1669974101 | Rachel Ellenbogen | Physician Assistant | 1850 Town Center Pkwy, Reston, VA 20190-3204 | 2018-02-28 |
1669972626 | Meghan Squier | Nurse Anesthetist, Certified Registered | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2018-02-16 |
1316470198 | Dana Alsaadi | Internal Medicine | 1850 Town Center Pkwy, Reston, VA 20190-3298 | 2017-04-07 |
1548617863 | Reston Hospital Center, LLC | Radiologic Technologist | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2016-05-17 |
1124482831 | Christine Mueting | Physician Assistant | 1850 Town Center Pkwy, Ste 400, Reston, VA 20190-3219 | 2016-04-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
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Taxonomy Code | 273Y00000X |
Grouping | Hospital Units |
Classification | Rehabilitation Unit |
In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
Notes: Source: Code of Federal Regulations #42, Section 412.29. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134510936 | Rehab Management Inc | Rehabilitation Unit | 474 Backmeadows Ln, Marion, VA 24354-6475 | 2015-02-15 |
1457681124 | School-based Therapy and Resources, LLC | Rehabilitation Unit | 924 Langdale Ct, Culpeper, VA 22701-2075 | 2010-01-02 |
1376796904 | Joyce A. Bolling | Rehabilitation Unit | 1315 Hopkins Rd, Richmond, VA 23224-6509 | 2008-10-28 |
1841489531 | Spine and Sport Rehab Center Inc | Rehabilitation Unit | 4656d King St, Alexandria, VA 22302-1215 | 2007-10-17 |
1104207877 | Mcdonald Army Health Care Center | Rehabilitation Unit | 576 Jefferson Ave, Fort Eustis, VA 23604-1373 | 2015-06-17 |
1093110702 | Kimberly Lephart | Rehabilitation Unit | 924 Langdale Ct, Culpeper, VA 22701-2075 | 2014-10-24 |
1164835807 | Acupuncture & Herbs Clinic | Rehabilitation Unit | 7535 Little River Tpke Ste 103a, Annandale, VA 22003-2983 | 2014-06-10 |
1134448541 | Smyth County Community Hospital | Rehabilitation Unit | 245 Medical Park Dr, Marion, VA 24354-1100 | 2010-05-25 |
1467690891 | Sentara Hospitals | Rehabilitation Unit | 100 Sentara Cir, Williamsburg, VA 23188-5713 | 2009-01-22 |
1467699199 | Sentara Hospitals | Rehabilitation Unit | 1060 First Colonial Rd, Virginia Beach, VA 23454-3002 | 2009-01-16 |
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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.