GOLDEN LIVING CENTER (NPI# 1053655373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053655373 |
| Entity Type | Organization |
| Organization Name | GOLDEN LIVING CENTER |
| Other Organization Name | SLEEPY HALLOW MANOR |
| Practice Address |
6700 Columbia Pike Annandale VA 22003-3450 |
| Practice Telephone | 7032566454 |
| Mailing Telephone | 7032566454 |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |
| Authorized Official Name | MR. JASON MUNRO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7032566454 |
| Is Organization Subpart | Y |
| Parent Organization Name | GOLDEN LIVING CENTERS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH2691 | VA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Sleepy Hallow Manor | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285970012 | Golden Living Center | Nursing Facility/Intermediate Care Facility | 5505 Grover St, Omaha, NE 68106-3718 | 2012-12-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GOLDEN LIVING CENTER - HILLCREST | 3672 N First St, Fresno, CA 93726-6810 |
| System for Award Management (SAM) Entities | GOLDEN LIVING CENTER-BLOOMINGTON | 155 E Burks Dr, Bloomington, IN 47401-8459 |
| System for Award Management (SAM) Entities | GOLDEN LIVING CENTER-BROOKVIEW | 7145 E 21st St, Indianapolis, IN 46219-1715 |
| System for Award Management (SAM) Entities | GOLDEN LIVING CENTER-GOLDEN RULE | 2330 Straight Line Pike, Richmond, IN 47374-7259 |
| System for Award Management (SAM) Entities | GOLDEN LIVING CENTER-INDIANAPOLIS | 2860 Churchman Ave, Indianapolis, IN 46203-4619 |
| System for Award Management (SAM) Entities | GOLDEN LIVING CENTER-MERRILLVILLE | 8800 Virginia Pl, Merrillville, IN 46410-7109 |
| System for Award Management (SAM) Entities | GOLDEN LIVING CENTER-MUNCIE | 2701 Lyn-Mar Dr, Muncie, IN 47304-5416 |
| System for Award Management (SAM) Entities | GOLDEN LIVING CENTER-VALPARAISO | 251 Strudy Rd, Valparaiso, IN 46383-5921 |
| New York State Corporations | GOLDEN LIVING CENTERS, LLC | 716 Brisbane Building, Buffalo, Ny 14203 |
| Street Address |
6700 COLUMBIA PIKE |
| City | ANNANDALE |
| State | VA |
| Zip Code | 22003-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760439137 | Beverly Enterprises - Virginia, Inc. | Skilled Nursing Facility | 6700 Columbia Pike, Annandale, VA 22003-3450 | 2006-05-30 |
| 1083257257 | Nova Dialysis Annandale | Clinic/Center | 6700 Columbia Pike, Annandale, VA 22003-3450 | 2019-10-21 |
| 1366095614 | Lindsey Louise Ishler | Speech-Language Pathologist | 6700 Columbia Pike, Annandale, VA 22003-3450 | 2019-07-16 |
| 1124501432 | Heather Jamer Williard | Speech-Language Pathologist | 6700 Columbia Pike, Annandale, VA 22003-3450 | 2018-09-12 |
| 1710460027 | Neethu Kuruvilla | Occupational Therapist | 6700 Columbia Pike, Annandale, VA 22003 | 2018-09-12 |
| 1770063570 | Pooja Soni | Physical Therapist | 6700 Columbia Pike, Annandale, VA 22003-3450 | 2018-08-21 |
| 1710467477 | Olubukola E. Falaiye | Physical Therapist | 6700 Columbia Pike, Annandale, VA 22003-3450 | 2018-08-21 |
| 1811477748 | Amy Katherine Weldon | Speech-Language Pathologist | 6700 Columbia Pike, Annandale, VA 22003-3450 | 2018-08-20 |
| 1902347420 | Columbia Leasing Co., LLC | Skilled Nursing Facility | 6700 Columbia Pike, Annandale, VA 22003-3450 | 2017-03-16 |
| 1174067961 | Ccp Virginia Sleepy Hollow, LLC | Skilled Nursing Facility | 6700 Columbia Pike, Annandale, VA 22003-3450 | 2016-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741758 | Lien Hong Do | Pharmacist | 4014 Thornton Street, Annandale, VA 22003 | 2019-10-14 |
| 1639655376 | Brian D Blincoe | Military Health Care Provider | 7207 Masonville Drive, Annandale, VA 22003 | 2018-07-16 |
| 1790201481 | Mid Atlantic Plastic Surgeons LLC | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2017-08-15 |
| 1053841668 | Rosalie Zuniga | Social Worker | 6800 Algonquin Court, Annandale, VA 22003 | 2017-06-15 |
| 1386179133 | Adaptive Care LLC | In Home Supportive Care | 4603 Logsdon Drive, Annandale, VA 22003 | 2017-04-28 |
| 1457808933 | Evergreen Foot and Ankle LLC | Podiatrist | 6928 Little River Turnpike, Suite B, Annandale, VA 22003 | 2016-09-01 |
| 1093165672 | Brightview Fairfax, LLC | Alzheimer Center (Dementia Center) | 3450 Gallows Road, Annandale, VA 22003 | 2016-06-15 |
| 1063867844 | Sports Care Acupuncture Clinic, LLC | Acupuncturist | 7535 Little River Tnpk #103a, Annandale, VA 22003 | 2016-04-28 |
| 1578925806 | Nu Dimensions, LLC | Day Training, Developmentally Disabled Services | 3602 Balin Ct, Annandale, VA 22003 | 2016-03-25 |
| 1932505641 | Julia Jiyoung Lee | Acupuncturist | 7535 Little River Tnpk, Suite 103a, Annandale, VA 22003 | 2014-11-06 |
| Find all providers in zip 22003 | ||||
| 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 |
|---|---|---|---|---|
| 1205964673 | Bay-mao Bill Wu | Skilled Nursing Facility | 8316 Briar Creek Dr, Annandale, VA 22003-4641 | 2007-02-28 |
| 1760439137 | Beverly Enterprises - Virginia, Inc. | Skilled Nursing Facility | 6700 Columbia Pike, Annandale, VA 22003-3450 | 2006-05-30 |
| 1700877818 | Leewood Investments & Associates, LLC | Skilled Nursing Facility | 7120 Braddock Rd, Annandale, VA 22003-6007 | 2005-10-31 |
| 1538169024 | Annandale Care Center | Skilled Nursing Facility | 500 Park St E, Annandale, MN 55302-3060 | 2005-07-26 |
| 1902347420 | Columbia Leasing Co., LLC | Skilled Nursing Facility | 6700 Columbia Pike, Annandale, VA 22003-3450 | 2017-03-16 |
| 1174067961 | Ccp Virginia Sleepy Hollow, LLC | Skilled Nursing Facility | 6700 Columbia Pike, Annandale, VA 22003-3450 | 2016-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760015119 | Mikaylah Lang | Skilled Nursing Facility | 4505 Georgewashington Hwy, Portsmouth, VA 23702 | 2020-02-13 |
| 1134760432 | Valley Operator LLC | Skilled Nursing Facility | 940 E Lee Hwy, Chilhowie, VA 24319-3237 | 2019-10-08 |
| 1871134171 | Westport Operator LLC | Skilled Nursing Facility | 7300 Forest Ave, Richmond, VA 23226-3735 | 2019-10-08 |
| 1437790730 | Hopewell Operator LLC | Skilled Nursing Facility | 905 Cousins Ave, Hopewell, VA 23860-6507 | 2019-10-08 |
| 1013478411 | Blue Ridge Snf Operations LLC | Skilled Nursing Facility | 105 Landmark Dr, Stuart, VA 24171-9401 | 2019-03-28 |
| 1265924260 | Nassawadox Life Care, LLC | Skilled Nursing Facility | 9468 Hospital Road, Nassawadox, VA 23413-0176 | 2018-06-05 |
| 1518459593 | Big Stone Gap Life Care, LLC | Skilled Nursing Facility | 2045 Valley View Dr, Big Stone Gap, VA 24219-3319 | 2018-06-05 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1538600036 | Prince William H&r Ops Limited Partnership | Skilled Nursing Facility | 14935 Holly Knoll Lane, Gainesville, VA 20155 | 2017-03-16 |
| 1033660360 | Nathan Ian Dalleave | Skilled Nursing Facility | 1243 Lanier Rd, Martinsville, VA 24112-5211 | 2016-10-21 |
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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.