GOODWIN HOUSE INCORPORATED (NPI# 1588740617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588740617 |
| Entity Type | Organization |
| Organization Name | GOODWIN HOUSE INCORPORATED |
| Other Organization Name | GOODWIN HOUSE PALLIATIVE CARE AND HOSPICE |
| Practice Address |
4800 Fillmore Ave Alexandria VA 22311 |
| Mailing Address |
3440 S Jefferson St Falls Church VA 22041-3145 |
| Practice Telephone | 7038241290 |
| Practice Fax Number | 7038241241 |
| Mailing Telephone | 7035787108 |
| Mailing Fax Number | 7035787355 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2018-07-17 |
| Authorized Official Name | MR. RICHARD T. CARTER (CFO) |
| Authorized Official Telephone | 7038241355 |
| Authorized Official Credential | CPA |
| 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 |
|---|---|
| Goodwin House Palliative Care and Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629069851 | Goodwin House Incorporated | Skilled Nursing Facility | 4800 Fillmore Ave, Alexandria, VA 22311-5070 | 2005-11-05 |
| 1639258676 | Goodwin House Incorporated | Skilled Nursing Facility | 4800 Fillmore Ave, Alexandria, VA 22311-5070 | 2006-11-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Goodwin House Incorporated | 4800 Fillmore Ave, Alexandria, Virginia 22311 |
| Street Address |
4800 FILLMORE AVE |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629069851 | Goodwin House Incorporated | Skilled Nursing Facility | 4800 Fillmore Ave, Alexandria, VA 22311-5070 | 2005-11-05 |
| 1194350082 | Sybil Meeley | Physical Therapy Assistant | 4800 Fillmore Ave, Alexandria, VA 22311-5070 | 2020-03-11 |
| 1497380026 | Leslie Casaday | Occupational Therapist | 4800 Fillmore Ave, Alexandria, VA 22311-5070 | 2020-03-04 |
| 1215576103 | Chante Warner | Occupational Therapist | 4800 Fillmore Ave, Alexandria, VA 22311-5070 | 2019-12-26 |
| 1972149276 | Megan Smith | Physical Therapist | 4800 Fillmore Ave, Alexandria, VA 22311-5070 | 2019-11-21 |
| 1912488289 | Bryanna I Schwarting | Speech-Language Pathologist | 4800 Fillmore Ave, Alexandria, VA 22311-5070 | 2018-08-24 |
| 1750897849 | Kathleen Ryan Beard | Speech-Language Pathologist | 4800 Fillmore Ave, Alexandria, VA 22311-5070 | 2017-12-27 |
| 1932615531 | Dana Sasse | Speech-Language Pathologist | 4800 Fillmore Ave, Alexandria, VA 22311-5070 | 2017-12-18 |
| 1578909453 | Lauren S. Latham | Occupational Therapist | 4800 Fillmore Ave, Alexandria, VA 22311-5070 | 2013-05-17 |
| 1851655443 | Christine Roach-birden | Nurse Practitioner | 4800 Fillmore Ave, Alexandria, VA 22311-5070 | 2012-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356995898 | Tika Trotter-mason | Counselor | 1900 N Beauregard Street, Alexandria, VA 22311 | 2019-08-01 |
| 1386179414 | Marian Ramirez Bautista | Nurse Practitioner | 2000 N Beauregard St. Suite 330, Alexandria, VA 22311 | 2017-04-26 |
| 1710294327 | Heather Jo Knowles Scharre | Behavioral Analyst | 4876 West Braddock Road, Alexandria, VA 22311 | 2010-09-02 |
| 1790001980 | Soft Dentistry | Clinic/Center | 5508 Seminary Rd, Alexandria, VA 22311 | 2010-04-13 |
| 1093946469 | David John Anderson | Dentist | 5192 Dawes Avenue, Alexandria, VA 22311 | 2009-08-04 |
| 1114109410 | Chong W. Lee, M.d., P.C. | Surgery | 4901 Seminary Road, #110, Alexandria, VA 22311 | 2007-11-29 |
| 1922298819 | Ramia Gupta | Psychiatry & Neurology | 4551 Strutfield Lane, #4220, Alexandria, VA 22311 | 2007-07-27 |
| 1942422431 | Sheila Jahan Md PC | Psychiatry & Neurology | 5238 Dawes Ave, Alexandria, VA 22311 | 2007-05-03 |
| 1457497380 | Elizabeth Anne Teegarden | Psychologist | 5276 Dawes Avenue, Alexandria, VA 22311 | 2007-01-29 |
| 1609932292 | James A Snyder | Dentist | 5284 Dawes Avenue, Alexandria, VA 22311 | 2006-12-28 |
| Find all providers in zip 22311 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457873762 | Lhcg Cx, LLC | Hospice Care, Community Based | 4801 Jackson St Ext Ste B, Alexandria, LA 71303-2508 | 2017-07-10 |
| 1023464393 | Heart of Hospice, LLC | Hospice Care, Community Based | 1001 Bayou Pl, Alexandria, LA 71303 | 2016-05-05 |
| 1154695252 | Harbor Hospice of Alexandria Lp | Hospice Care, Community Based | 4615 Parliament Dr Ste 203, Alexandria, LA 71303-2780 | 2012-03-07 |
| 1336450345 | Compassionate Care Hospice of Central Louisiana, LLC | Hospice Care, Community Based | 5417 Jackson St, Ste B, Alexandria, LA 71303-2322 | 2010-06-24 |
| 1184795445 | Journey Hospice of Alexandria, LLC | Hospice Care, Community Based | 221 Pecan Park Ave, Alexandria, LA 71303-3361 | 2006-11-10 |
| 1003995507 | Guardian Hospice Care, LLC | Hospice Care, Community Based | 5503 John Eskew Blvd, Suite B & C, Alexandria, LA 71303-3725 | 2006-11-03 |
| 1184709321 | Passages Hospice North - Cenla, LLC | Hospice Care, Community Based | 144 Windermere Blvd., Ste. A, Alexandria, LA 71301 | 2006-10-26 |
| 1558463752 | Hospice Care of Louisiana, LLC | Hospice Care, Community Based | 3212 Industrial Street, Alexandria, LA 71301-3511 | 2006-09-01 |
| 1811940232 | St. Joseph Hospice of Cenla, L.L.C. | Hospice Care, Community Based | 429 Murray St Fl 6, Alexandria, LA 71301-8300 | 2006-05-18 |
| 1215928551 | Faith Foundation Hospice | Hospice Care, Community Based | 3503 Parliament Ct, Alexandria, LA 71303-3135 | 2005-11-04 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22311 |
Please comment or provide details below to improve the information on GOODWIN HOUSE 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.