GOODWILL HOMES LLC NPI 1508544941

NPI Information

  • NPI: 1508544941
  • Provider Name: GOODWILL HOMES LLC
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • Address: 13126 MERCURY LN
    FAIRFAX, VA
    ZIP 22033
  • Phone: (202) 258-3344

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NPI Details

GOODWILL HOMES LLC is an adult care home custodial care facility in Fairfax, VA. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. GOODWILL HOMES LLC NPI is 1508544941. The provider is registered as an organization entity type.

The provider's business location address is:

13126 MERCURY LN
FAIRFAX, VA
ZIP 22033-711
Phone: (202) 258-3344

The provider's authorized official is Roger Leyou .
The authorized official title is Ceo and has the following contact phone number (202) 258-3344.

The enumeration date for this NPI number is 7/6/2023 and was last updated on 9/11/2025.

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
1311ZA0620XCustodial Care FacilityAdult Care HomeYes

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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