POWHATAN NURSING HOME, INC (NPI# 1154535334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154535334 |
| Entity Type | Organization |
| Organization Name | POWHATAN NURSING HOME, INC |
| Practice Address |
2100 Powhatan St Falls Church VA 22043-1940 |
| Practice Telephone | 7035382400 |
| Practice Fax Number | 7035385583 |
| Mailing Telephone | 7035382400 |
| Mailing Fax Number | 7035385583 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. CYNTHIA LYNN BUTLER (PRESIDENTADMINISTRATOR) |
| Authorized Official Telephone | 7035382400 |
| Authorized Official Credential | LNHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | NH2656 | VA | Nursing & Custodial Care Facilities |
| Street Address |
2100 POWHATAN ST |
| City | FALLS CHURCH |
| State | VA |
| Zip Code | 22043-1940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730696659 | Loretta H Reilly | Occupational Therapy Assistant | 2100 Powhatan St, Falls Church, VA 22043-1940 | 2017-12-30 |
| 1811446842 | Guilherme Da Silva | Occupational Therapy Assistant | 2100 Powhatan St, Falls Church, VA 22043-1940 | 2016-10-03 |
| 1710357249 | Faviola Villa Romero | Physical Therapy Assistant | 2100 Powhatan St, Falls Church, VA 22043-1940 | 2015-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912472051 | All Secured Home Health Services LLC | Respite Care | All Secured Home Health Services LLC, 7777 Leesburg Pike, Suite 416n, Falls Church, VA 22043 | 2018-10-04 |
| 1437674546 | Archana Vuppala | Behavioral Analyst | 7600 Leesburg Pike Ste 105, Falls Church, VA 22043 | 2017-08-09 |
| 1407398670 | Daniel O. Sotelo Cruz | Dentist | Cuahutemoc Sur 3628, Col Chula Vista, Tijuana, BAJA CALIFORNIA 22043 | 2016-11-04 |
| 1417403767 | Super Smile Center of Tysons | Dentist | 7115 Leesbug Pike, #216, Falls Church, VA 22043 | 2016-08-28 |
| 1366876856 | Tysons Dental Care Pllc | Dentist | 7787 Leesburg Pike #2, Falls Church, VA 22043 | 2013-09-03 |
| 1326388992 | Coviello Oral Surgery PC | Dentist | 2843 Hartland Rd., Suite 150, Falls Church, VA 22043 | 2013-02-19 |
| 1295071561 | Essence of Acupuncture LLC | Acupuncturist | 2273 Kings Garden Way, Falls Church, VA 22043 | 2012-12-14 |
| 1285980292 | James Spengler | Specialist/Technologist | 7743 Virginia 7, Falls Church, VA 22043 | 2012-07-27 |
| 1316267909 | Mehrnush Mohebi | Counselor | 7777 Leesburg Pike Ste 102n, Falls Church, VA 22043 | 2010-06-04 |
| 1689823957 | Jesus Jimenez Gonzalez | General Practice | 2891 Hartland Rd #207, Braner Clinics, Falls Church, VA 22043 | 2008-09-11 |
| Find all providers in zip 22043 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| 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. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
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|---|---|---|---|---|
| 1235594854 | Leibovici Health Care LLC | Nursing Facility/Intermediate Care Facility | 421 Van Wyck Mews, Norfolk, VA 23517-2129 | 2015-12-24 |
| 1831510262 | Sunnyside Presbyterian Home | Nursing Facility/Intermediate Care Facility | 600 University Blvd Ste L, Harrisonburg, VA 22801-3763 | 2014-01-03 |
| 1962843805 | Caring Hands Facilitators | Nursing Facility/Intermediate Care Facility | 1600 Selma Pl, Richmond, VA 23223-1281 | 2013-07-08 |
| 1699111864 | Able Support Facilitators | Nursing Facility/Intermediate Care Facility | 5 Stratford Dr, 113, Fishersville, VA 22939-2145 | 2013-05-15 |
| 1477835569 | Genesis Rehab Services | Nursing Facility/Intermediate Care Facility | 200 W Uhler Ter, Alexandria, VA 22301 | 2011-09-14 |
| 1447491394 | Lakewood Manor Baptist Retirement Community | Nursing Facility/Intermediate Care Facility | 1900 Lauderdale Dr, Richmond, VA 23238-3902 | 2009-03-23 |
| 1376784488 | The Glebe, Inc. | Nursing Facility/Intermediate Care Facility | 200 The Glebe Blvd, Daleville, VA 24083-3722 | 2009-03-19 |
| 1518160191 | Department of Veterans Affairs | Nursing Facility/Intermediate Care Facility | 19508 Mccray Dr, Abingdon, VA 24211-6838 | 2007-06-09 |
| 1457561003 | Virginia United Methodist Homes, Inc. | Nursing Facility/Intermediate Care Facility | 23610 North St, Onancock, VA 23417-2024 | 2007-05-23 |
| 1205055381 | Crc Health | Nursing Facility/Intermediate Care Facility | 2970 Baptist Valley Rd, Cedar Bluff, VA 24609-8654 | 2007-04-25 |
| Find all providers with the same taxonomy | ||||
| City | FALLS CHURCH |
| Zip Code | 22043 |
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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.