GOODWIN HOUSE HOME AND COMMUNITY BASED SERVICES NPI 1144969296

NPI Information

  • NPI: 1144969296
  • Provider Name: GOODWIN HOUSE HOME AND COMMUNITY BASED SERVICES
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • :
  • Address: 5000 FAIRBANKS AVE
    ALEXANDRIA, VA
    ZIP 22311
  • Phone: (703) 578-7195

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NPI Details

GOODWIN HOUSE HOME AND COMMUNITY BASED SERVICES is a multi-specialty clinic center in Alexandria, VA. GOODWIN HOUSE HOME AND COMMUNITY BASED SERVICES NPI is 1144969296. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

5000 FAIRBANKS AVE
ALEXANDRIA, VA
ZIP 22311-246
Phone: (703) 578-7195

The provider's authorized official is Melinda T Gren .
The authorized official title is Vp Performance And Operations, Hcbs and has the following contact phone number (703) 578-7195.

The enumeration date for this NPI number is 5/27/2022 and was last updated on 5/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2000XClinic/CenterPhysical TherapyNo
2261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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