MANOR CARE OF ALEXANDRIA VA LLC (NPI# 1104861673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104861673 |
| Entity Type | Organization |
| Organization Name | MANOR CARE OF ALEXANDRIA VA LLC |
| Other Organization Name | MANORCARE HEALTH SERVICES - ALEXANDRIA |
| Practice Address |
1510 Collingwood Rd Alexandria VA 22308-1605 |
| Mailing Address |
333 N Summit St Toledo OH 43604-2615 |
| Practice Telephone | 7037656107 |
| Practice Fax Number | 7037653131 |
| Mailing Telephone | 4192525500 |
| Mailing Fax Number | 8773859446 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2017-05-12 |
| Authorized Official Name | MR. MARTIN D ALLEN (DIRECTOR) |
| Authorized Official Telephone | 4192525734 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH2644 | VA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1104861673 | 05 |
| Other Name | Type Code |
|---|---|
| ManorCare Health Services - Alexandria | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Manor Care of Alexandria VA LLC | 333 N Summit St, Toledo, Ohio 43604 |
| Street Address |
1510 COLLINGWOOD RD |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22308-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568841609 | Trevor Allen Johnson | Physical Therapist | 1510 Collingwood Rd, Alexandria, VA 22308-1605 | 2015-05-21 |
| 1003173899 | Tammy L Pilgrim | Speech-Language Pathologist | 1510 Collingwood Rd, Alexandria, VA 22308-1605 | 2012-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942708847 | Renee Mcgrew | Dietitian, Registered | 8509 Camden Street, Alexandria, VA 22308 | 2018-01-25 |
| 1275839573 | Russell Barry Rayman | Preventive Medicine | 8710 Linton Lane, Alexandria, VA 22308 | 2011-02-03 |
| 1982607248 | Patricia Porter Adams | Nurse Practitioner | 8621 Fort Hunt Rd, Alexandria, VA 22308 | 2005-05-31 |
| 1255853404 | Laszlo Balazs | Massage Therapist | 1300 Lafayette Dr, Alexandria, VA 22308-1106 | 2017-07-10 |
| 1396261897 | Tisha Louise Bridges | Massage Therapist | 1300 Lafayette Dr, Alexandria, VA 22308-1106 | 2017-08-16 |
| 1437702297 | Mary Katherine Hawk | Massage Therapist | 1300 Lafayette Dr, Alexandria, VA 22308-1177 | 2019-07-22 |
| 1477582484 | Nai Saturn Eastern LLC | Durable Medical Equipment & Medical Supplies | 7900 Fort Hunt Rd, Alexandria, VA 22308-1203 | 2006-07-02 |
| 1043510027 | Eric Christopher Haas | Pharmacist | 7900 Fort Hunt Rd, Safeway 0878, Alexandria, VA 22308-1203 | 2010-10-25 |
| 1003116161 | Binhgiang Hung Nguyen | Pharmacist | 7900 Fort Hunt Rd, Alexandria, VA 22308-1203 | 2010-10-23 |
| 1003216227 | Carol Ann Gauzens | Social Worker | 8009 Fort Hunt Rd, Alexandria, VA 22308-1207 | 2014-08-25 |
| Find all providers in zip 22308 | ||||
| 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 |
| 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 |
| 1427030790 | Naomi Heights Nursing & Rehabilitation Center, LLC | Skilled Nursing Facility | 2421 E Texas Ave, Alexandria, LA 71301-4211 | 2005-11-14 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22308 |
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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.