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GOODWIN HOUSE BAILEY'S CROSSROADS NPI 1497098008


NPI Information

NPI: 1497098008
Provider Name: GOODWIN HOUSE BAILEY'S CROSSROADS
Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Organization
Address:
3440 S JEFFERSON ST
FALLS CHURCH, VA
ZIP 22041
Phone: (703) 578-7260
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GOODWIN HOUSE BAILEY'S CROSSROADS is a nursing facility intermediate care facility in Falls Church, VA. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. GOODWIN HOUSE BAILEY'S CROSSROADS NPI is 1497098008. The provider is registered as an organization entity type.

The provider's business location address is:

3440 S JEFFERSON ST
FALLS CHURCH, VA
ZIP 22041-145
Phone: (703) 578-7260

The provider's authorized official is Karen Doyle .
The authorized official title is Director Of Nursing and has the following contact phone number (703) 578-7260.

The enumeration date for this NPI number is 4/2/2013 and was last updated on 4/2/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityALF 447573-L155VIRGINIANo
2313M00000XNursing Facility/Intermediate Care FacilityNH2559VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1495171MEDICARE OSCAR/CERTIFICATIONVIRGINIA
2495171MEDICARE PINVIRGINIA
31639258676MEDICAIDVIRGINIA

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: 4/28/2024

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