SCARLET HAVEN ON AGING, LLC


Address: 1346 Old Bridge Rd, Suite 100, Woodbridge, VA 22192-2743
Phone: 7034901197

SCARLET HAVEN ON AGING, LLC (NPI# 1598169872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598169872
Entity Type Organization
Organization Name SCARLET HAVEN ON AGING, LLC
Other Organization Name SCARLET HAVEN FOR THE AGING
Practice Address 1346 Old Bridge Rd
Suite 100
Woodbridge
VA 22192-2743
Practice Telephone 7034901197
Practice Fax Number 7038903122
Mailing Telephone 7034901197
Mailing Fax Number 7038903122
Enumeration Date 2014-10-15
Last Update Date 2014-10-15
Authorized Official Name CYNTHIA ANN BARDWELL (CHIEF ADMINISTRATIVE OFFICER)
Authorized Official Telephone 7034901197
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers

Other Provider/Organization Names

Other Name Type Code
Scarlet Haven for the Aging Doing Business As Name - Organization

Office Location

Street Address 1346 OLD BRIDGE RD
SUITE 100
City WOODBRIDGE
State VA
Zip Code 22192-2743

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831330331 Hassan Sayed Elsiah Physical Therapist 1346 Old Bridge Rd, Ste 201-4, Woodbridge, VA 22192-1170 2009-03-12
1548631310 Scarlet Haven Residential Services Home Infusion 1346 Old Bridge Rd, Suite 100, Woodbridge, VA 22192-2743 2015-10-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245873645 Ursula Jackson Technician 3500 Commission Ct, Woodbridge, VA 22192 2019-10-18
1205480779 Ki Soo Park Physical Therapy Assistant 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 2019-08-01
1801448329 Karen Lee Trivett Specialist/Technologist, Other 12584 Darby Brook Court, Woodbridge, VA 22192 2019-07-15
1407313166 Nichele Amelia Thompson Behavioral Analyst 2731 Marblestone Dr, 101, Woodbridge, VA 22192 2019-02-28
1952877870 Kimberly Ann Rojas Vazquez Behavioral Analyst 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 2018-10-18
1104391614 Ykim Dental Dentist 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 2018-10-11
1013418755 Arm Transport Non-emergency Medical Transport (VAN) 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 2018-02-27
1811496813 Francesca Nasi Behavioral Analyst 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 2018-02-05
1942729504 Bismark Transportation Service LLC Non-emergency Medical Transport (VAN) 12341 Woodlawn Court, Woodbridge, VA 22192 2017-09-14
1992226344 Arm Baby Eldery Home Health LLC Home Health 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 2017-07-06
Find all providers in zip 22192

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063848885 Grace Amistoso Nurse Practitioner Lock Bag & Woodbrige Ave, E Jersey State Prison Attn Medical Dept, Woodbridge, NJ 07067 2013-09-25
1073500658 Jeanne Moore Nurse Practitioner 2200 Tacketts Mill Dr, Woodbridge, Woodbridge, VA 22192-3012 2005-09-29
1104454842 Karen Leigh Holdsworth Nurse Practitioner 2280 Opitz Blvd Ste 250, Woodbridge, VA 22191-3362 2020-03-30
1093353450 Alexandra Peck Nurse Practitioner 14904 Jefferson Davis Hwy Ste 208, Woodbridge, VA 22191-3908 2019-12-17
1093370959 Jaime Alease Stephenson Nurse Practitioner 1990 Old Bridge Rd Ste 201, Woodbridge, VA 22192-2383 2019-05-07
1154884641 Theodora Claudette Robinson Nurse Practitioner 1954 Opitz Blvd, Woodbridge, VA 22191-3304 2019-04-11
1316432164 Sonica Mahat Nurse Practitioner 2200 Opitz Blvd Ste 335, Woodbridge, VA 22191 2018-06-25
1396118204 Yolim Moncada Nurse Practitioner 2200 Opitz Blvd Ste 355, Woodbridge, VA 22191-3340 2015-11-02
1952787996 Michelle Marie Stockhaus Nurse Practitioner 2200 Opitz Blvd, Suite 335, Woodbridge, VA 22191-3321 2015-07-31
1992132310 Betty Tasie Nurse Practitioner 12701 Marblestone Dr, Suite 130, Woodbridge, VA 22192-8325 2013-09-30
Find all providers in WOODBRIDGE

Competitor

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City WOODBRIDGE
Zip Code 22192

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Dataset Information

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.

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