ERICKSON LIVING HEALTH SERVICES, LLC (NPI# 1437497633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437497633 |
| Entity Type | Organization |
| Organization Name | ERICKSON LIVING HEALTH SERVICES, LLC |
| Other Organization Name | ERICKSON LIVING HEALTH SERVICES |
| Practice Address |
21170 Ashby Ponds Blvd Attn: Outpatient Administrator Ashburn VA 20147-6128 |
| Mailing Address |
21170 Ashby Ponds Blvd Attn: Executive Director Ashburn VA 20147-6128 |
| Practice Telephone | 7037231999 |
| Practice Fax Number | 4102047237 |
| Mailing Telephone | 7037231999 |
| Mailing Fax Number | 4102047237 |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2016-02-15 |
| Authorized Official Name | JONATHAN GARBER (VICE PRESIDENT) |
| Authorized Official Telephone | 4104022323 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ERICKSON LIVING HEALTH SERVICES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013134055 | Erickson Living Health Services, LLC | Hospice Care, Community Based | 203 Linden Ponds Way, Attn: Hospice Administrator, Hingham, MA 02043-8700 | 2007-04-19 |
| 1003227240 | Erickson Living Health Services, LLC | Home Health | 200 Maris Grove Way, Attn: Hospice Administrator, Glen Mills, PA 19342-3336 | 2014-05-09 |
| 1386065084 | Erickson Living Health Services, LLC | Home Health | 13800 Metcalf Ave, Attn: Executive Director, Overland Park, KS 66223-1200 | 2013-12-23 |
| 1497196745 | Erickson Living Health Services, LLC | Home Health | 100 Maris Grove Way, Attn: Executive Director, Glen Mills, PA 19342-1282 | 2013-07-16 |
| 1366883662 | Erickson Living Health Services, LLC | Clinic/Center | 13800 Metcalf Ave, Attn: Executive Director, Overland Park, KS 66223-1200 | 2013-07-15 |
| 1174861371 | Erickson Living Health Services, LLC | Home Health | 300 Linden Ponds Way, Attn: Certified Home Health Administrator, Hingham, MA 02043-3791 | 2013-01-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | ERICKSON LIVING HEALTH SERVICES, LLC | 701 Maiden Choice Ln., Baltimore, MD 21228 |
| Street Address |
21170 ASHBY PONDS BLVD ATTN: OUTPATIENT ADMINISTRATOR |
| City | ASHBURN |
| State | VA |
| Zip Code | 20147-6128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326056045 | Thomas Francis Morris | Family Medicine | 21170 Ashby Ponds Blvd, Ashburn, VA 20147-6128 | 2006-08-05 |
| 1043874837 | Brittany Lyn Smith | Physical Therapy Assistant | 21170 Ashby Ponds Blvd, Ashburn, VA 20147-6128 | 2019-04-26 |
| 1386163475 | Dana Colvin | Nurse Practitioner | 21170 Ashby Ponds Blvd, Ashburn, VA 20147 | 2017-09-11 |
| 1477099489 | Ashby Ponds, Inc. | Clinic/Center | 21170 Ashby Ponds Blvd, Attn: Rehabilitation Manager, Ashburn, VA 20147-6128 | 2017-01-13 |
| 1710423306 | Ronald Longo | Social Worker | 21170 Ashby Ponds Blvd, Ashburn, VA 20147 | 2017-01-06 |
| 1326580267 | Aashee Gupta | Occupational Therapist | 21170 Ashby Ponds Blvd, Ashburn, VA 20147-6128 | 2016-11-09 |
| 1992149470 | Karen Patton | Speech-Language Pathologist | 21170 Ashby Ponds Blvd, Ashburn, VA 20147-6128 | 2013-04-26 |
| 1659618049 | Rebekah Hannay Jordan | Nurse Practitioner | 21170 Ashby Ponds Blvd, Ashburn, VA 20147-6128 | 2013-01-07 |
| 1902119563 | Erickson Health Medical Group of Virginia, PC | Durable Medical Equipment & Medical Supplies | 21170 Ashby Ponds Blvd, Ashburn, VA 20147-6128 | 2010-07-23 |
| 1871759340 | Erickson Health Medical Group of Virginia PC | Family Medicine | 21170 Ashby Ponds Blvd, Ashburn, VA 20147 | 2008-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982039 | Smita J Patel | Pharmacist | 43614 Millay Ct., Ashburn, VA 20147 | 2020-11-04 |
| 1740812205 | Ericka N Schmitt | Psychologist | Interchange Psychology, 44075 Pipeline Plaza, Ashburn, VA 20147 | 2020-02-12 |
| 1164065967 | Dorsa Salehi | Behavior Technician | 44933 George Washing Blvd, Suite 115, Ashburn, VA 20147 | 2019-10-24 |
| 1659837094 | Sandrine Shanghai | Case Management | 44933 George Washington Parkway, Suite 110, Ashburn, VA 20147 | 2019-02-11 |
| 1033684154 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 44835 Russel Branch Parkway, Ashburn, VA 20147 | 2018-10-04 |
| 1417437203 | Roshni A Patel | Optometrist | 44050 Ashburn Village Blvd, Suite 163, Ashburn, VA 20147 | 2018-08-21 |
| 1972095974 | Verum Cutis Dermatology | Dermatology | 44110 Ashburn Shopping Plz Unit 237, Ashburn, VA 20147 | 2018-06-05 |
| 1033608542 | Justin Leeman | Physical Therapist | 21625 Red Rum Dr, Ashburn, VA 20147 | 2018-05-09 |
| 1255860680 | Aperiomics, Inc. | Clinical Medical Laboratory | 45085 University Dr, Ste 305, Ashburn, VA 20147 | 2017-06-08 |
| 1427591643 | Monecia Michelle Nelms | Counselor | 20925 Professional Plaza, Suite #320, Ashburn, VA 20147 | 2016-11-19 |
| Find all providers in zip 20147 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386952265 | United Rehab Inc. | Clinic/Center | 441 Industrial Blvd, Ashburn, GA 31714 | 2010-09-14 |
| 1477099489 | Ashby Ponds, Inc. | Clinic/Center | 21170 Ashby Ponds Blvd, Attn: Rehabilitation Manager, Ashburn, VA 20147-6128 | 2017-01-13 |
| 1457462434 | Physiotherapy Associates Inc | Clinic/Center | 21785 Filigree Ct, Suite 209, Ashburn, VA 20147-6213 | 2006-08-31 |
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| 1710517966 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 8986 Lorton Station Blvd Ste 202, Lorton, VA 22079-4755 | 2020-01-16 |
| 1710527841 | Professional Therapies of Roanoke, Inc. | Clinic/Center | 4017 College Ave, Bluefield, VA 24605-2043 | 2020-01-07 |
| 1497391148 | T2 Fitness | Clinic/Center | 928 Diamond Springs Rd Ste 111, Virginia Beach, VA 23455-6601 | 2019-11-18 |
| 1285285031 | Professional Therapies of Roanoke, Inc. | Clinic/Center | 209 Roanoke St Ste 1, Christiansburg, VA 24073-3035 | 2019-09-24 |
| 1184281321 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 7508 Iron Bar Ln Ste 7508, Gainesville, VA 20155-2999 | 2019-05-23 |
| 1427522846 | Dmr Team, LLC | Clinic/Center | 10637 Shannon Hill Rd, Louisa, VA 23093-6352 | 2019-01-18 |
| 1003394693 | Cplace Bristol Snf, LLC | Clinic/Center | 109 Village Circle, Bristol, VA 24201 | 2018-08-06 |
| 1154814796 | Bon Secours St Francis Medical Center Inc. | Clinic/Center | 13700 St Francis Blvd Ste 105, Midlothian, VA 23114 | 2018-06-08 |
| 1083117436 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 13650 Heathcote Blvd, Gainesville, VA 20155-3344 | 2018-03-13 |
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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.