GOODWIN HOUSE INCORPORATED (NPI# 1629069851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629069851 |
| Entity Type | Organization |
| Organization Name | GOODWIN HOUSE INCORPORATED |
| Other Organization Name | GOODWIN HOUSE ALEXANDRIA |
| Practice Address |
4800 Fillmore Ave Alexandria VA 22311-5070 |
| Practice Telephone | 7038241290 |
| Practice Fax Number | 7038241241 |
| Mailing Telephone | 7038241290 |
| Mailing Fax Number | 7038241241 |
| Enumeration Date | 2005-11-05 |
| Last Update Date | 2013-01-11 |
| Authorized Official Name | MISS KATHLEEN S ANDERSON (CEO) |
| Authorized Official Telephone | 7038241355 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH2560 | VA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 4950577 | 05 |
| Other Name | Type Code |
|---|---|
| Goodwin House Alexandria | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639258676 | Goodwin House Incorporated | Skilled Nursing Facility | 4800 Fillmore Ave, Alexandria, VA 22311-5070 | 2006-11-02 |
| 1588740617 | Goodwin House Incorporated | Hospice Care, Community Based | 4800 Fillmore Ave, Alexandria, VA 22311 | 2006-10-31 |
| 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 | 22311-5070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1356673313 | Goodwin House Home and Community Based Services Inc | Home Health | 4800 Fillmore Ave, Alexandria, VA 22311-5070 | 2010-02-02 |
| 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 | 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 | 22311 |
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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.