ENVOY OF WOODBRIDGE, LLC (NPI# 1205089240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205089240 |
| Entity Type | Organization |
| Organization Name | ENVOY OF WOODBRIDGE, LLC |
| Practice Address |
14906 Jefferson Davis Hwy Woodbridge VA 22191-4016 |
| Practice Telephone | 7034916167 |
| Mailing Telephone | 7034916167 |
| Mailing Fax Number | 7034916969 |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2020-05-18 |
| Authorized Official Name | KENNETH USSERY (VP) |
| Authorized Official Telephone | 4075711550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 4953614 | 05 | |
| VA | 1205089240 | 05 |
| Street Address |
14906 JEFFERSON DAVIS HWY |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22191-4016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851315261 | Ruxton Health Care IIi, LLC | Skilled Nursing Facility | 14906 Jefferson Davis Hwy, Woodbridge, VA 22191-4016 | 2006-07-27 |
| 1467081109 | Dominique Wilson | Occupational Therapist | 14906 Jefferson Davis Hwy, Woodbridge, VA 22191-4016 | 2020-04-04 |
| 1316505472 | Jennifer Dawn Varnell | Occupational Therapist | 14906 Jefferson Davis Hwy, Woodbridge, VA 22191-4016 | 2019-06-04 |
| 1528542313 | Tasha Moody | Occupational Therapist | 14906 Jefferson Davis Hwy, Woodbridge, VA 22191-4016 | 2018-09-18 |
| 1346726890 | Hinakausar Jahangirpurwala | Occupational Therapy Assistant | 14906 Jefferson Davis Hwy, Woodbridge, VA 22191-4016 | 2018-07-18 |
| 1225548258 | Latiesha Jasmin Camacho | Physical Therapy Assistant | 14906 Jefferson Davis Hwy, Woodbridge, VA 22191-4016 | 2017-10-04 |
| 1437608049 | Hannah Michelle Huffman | Occupational Therapist | 14906 Jefferson Davis Hwy, Envoy of Woodbridge, Woodbridge, VA 22191-4016 | 2016-09-23 |
| 1922470004 | Laura Lee Gant | Physical Therapist | 14906 Jefferson Davis Hwy, Woodbridge, VA 22191-4016 | 2015-10-28 |
| 1861885923 | Elizabeth Akpati | Speech-Language Pathologist | 14906 Jefferson Davis Hwy, Woodbridge, VA 22191-4016 | 2015-03-13 |
| 1194030312 | Christina Gayle Kovach | Occupational Therapy Assistant | 14906 Jefferson Davis Hwy, Woodbridge, VA 22191-4016 | 2010-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861021131 | Bailey Orthodontics Pllc | Dentist | 16446 Navigation Drive, Woodbridge, VA 22191 | 2020-04-07 |
| 1417589326 | Meseret Abate | Registered Nurse | 15608 William Bayliss Ct, Woodbridge, VA 22191 | 2020-02-08 |
| 1992279327 | Velocity Urgent Care, LLC | Clinic/Center | 16422 Navigation Dr, Woodbridge, VA 22191 | 2019-01-18 |
| 1821577263 | Maame Gyasiwah Banahene | Registered Nurse | 1812 Featherstone Rd, Woodbridge, VA 22191 | 2018-08-07 |
| 1235617507 | Yaw P. Baidoo | Nutritionist | 14960 Potomac Heights Pl Apt 503, Woodbridge, VA 22191 | 2018-07-30 |
| 1477048452 | Anahita Abazari | Optometrist | 14901 Potomac Town Pl, Suite 120, Woodbridge, VA 22191 | 2018-06-22 |
| 1619490661 | Misti S Gray | Nurse Practitioner | 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 | 2017-07-21 |
| 1568991974 | Patrice Whilby | Behavior Technician | 2264 York Drive Apt 302, Woodbridge, VA 22191 | 2017-06-08 |
| 1508395245 | Maria Theresa Lee | Registered Nurse | 2028b Opitz Blvd # 22191, Woodbridge, VA 22191 | 2017-06-07 |
| 1861943763 | A1 Home Care, LLC | Home Health | 13928 Jefferson Davis Hwy, Ste # C, Woodbridge, VA 22191 | 2016-10-17 |
| Find all providers in zip 22191 | ||||
| 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 |
|---|---|---|---|---|
| 1043555097 | Cindya Y Umana | Skilled Nursing Facility | 6070 Ponhill Dr, Woodbridge, VA 22193-3951 | 2012-12-03 |
| 1851315261 | Ruxton Health Care IIi, LLC | Skilled Nursing Facility | 14906 Jefferson Davis Hwy, Woodbridge, VA 22191-4016 | 2006-07-27 |
| 1922031228 | Harborside Connecticut Limited Partnership | Skilled Nursing Facility | 225 Amity Rd, Woodbridge, CT 06525-2206 | 2006-07-09 |
| 1952389272 | Little Servant Sisters - St. Joseph's Home Assisted Living and Nursing | Skilled Nursing Facility | 1-3 Saint Joseph Ter, Woodbridge, NJ 07095-2611 | 2006-01-06 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 22191 |
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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.