WATERMARK WASHINGTON HOUSE, LLC (NPI# 1770961799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770961799 |
| Entity Type | Organization |
| Organization Name | WATERMARK WASHINGTON HOUSE, LLC |
| Other Organization Name | THE FOUNTAINS AT WASHINGTON HOUSE |
| Practice Address |
5100 Fillmore Ave Alexandria VA 22311-5069 |
| Mailing Address |
2020 W Rudasill Rd Attn: Medicare Billing Tucson AZ 85704-7800 |
| Practice Telephone | 7038545100 |
| Practice Fax Number | 7036710468 |
| Mailing Telephone | 5207974000 |
| Mailing Fax Number | 5207977757 |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |
| Authorized Official Name | GRETA FRAZIER (DIRECTOR) |
| Authorized Official Telephone | 5207974000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| The Fountains at Washington House | Doing Business As Name - Organization |
| Street Address |
5100 FILLMORE AVE |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22311-5069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912950924 | Fountains Washington House Sl, LLC | Skilled Nursing Facility | 5100 Fillmore Ave, Alexandria, VA 22311-5069 | 2006-05-19 |
| 1164039830 | Janea Gordon | Occupational Therapist | 5100 Fillmore Ave, Alexandria, VA 22311-5069 | 2020-09-28 |
| 1134768328 | Eunsol Lee | Physical Therapist | 5100 Fillmore Ave, Alexandria, VA 22311-5069 | 2020-01-05 |
| 1790322329 | Madeline Ruth Pifer | Speech-Language Pathologist | 5100 Fillmore Ave, Alexandria, VA 22311-5069 | 2019-12-02 |
| 1689210049 | Sun Park | Occupational Therapist | 5100 Fillmore Ave, Alexandria, VA 22311-5069 | 2019-11-20 |
| 1144305095 | Allied Pharmaceutical Services | Pharmacy | 5100 Fillmore Ave, Alexandria, VA 22311-5069 | 2006-10-26 |
| 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.