GOODWIN HOUSE BAILEY'S CROSSROADS (NPI# 1497098008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497098008 |
| Entity Type | Organization |
| Organization Name | GOODWIN HOUSE BAILEY'S CROSSROADS |
| Practice Address |
3440 S Jefferson St Falls Church VA 22041-3145 |
| Practice Telephone | 7035787260 |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2013-04-02 |
| Authorized Official Name | MS. KAREN DOYLE (DIRECTOR OF NURSING) |
| Authorized Official Telephone | 7035787260 |
| Authorized Official Credential | MSN, RN |
| Is Organization Subpart | Y |
| Parent Organization Name | GOODWIN HOUSE INCORPORATED |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | ALF 447573-L155 | VA | Nursing & Custodial Care Facilities |
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | NH2559 | VA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1639258676 | 05 |
| Street Address |
3440 S JEFFERSON ST |
| City | FALLS CHURCH |
| State | VA |
| Zip Code | 22041-3145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417906868 | Linda A. Gehr | Nurse Practitioner | 3440 S Jefferson St, Falls Church, VA 22041 | 2006-05-10 |
| 1104456748 | Alison Liggett | 3440 S Jefferson St, Falls Church, VA 22041-3145 | 2020-01-23 | |
| 1134763667 | Jessica Feldman | Occupational Therapist | 3440 S Jefferson St, Falls Church, VA 22041-3145 | 2019-10-28 |
| 1932751005 | Barry William Green Jr. | Physical Therapy Assistant | 3440 S Jefferson St, Falls Church, VA 22041-3145 | 2019-07-09 |
| 1093297756 | Hency Bavaria | Physical Therapist | 3440 S Jefferson St, Falls Church, VA 22041-3145 | 2018-08-29 |
| 1982111811 | Anjali Mohindroo Koschmider | Physical Therapist | 3440 S Jefferson St, Falls Church, VA 22041-3145 | 2017-12-31 |
| 1285140434 | Stephanie M Reagan | Physical Therapist | 3440 S Jefferson St, Falls Church, VA 22041-3145 | 2017-12-26 |
| 1104332345 | Andrew Mandell Riviere | Speech-Language Pathologist | 3440 S Jefferson St, Falls Church, VA 22041-3145 | 2017-12-26 |
| 1891229944 | Allison Jane Prouty | Nurse Practitioner | 3440 S Jefferson St, Falls Church, VA 22041 | 2017-04-15 |
| 1437505161 | Amanda Caroline Toney | Occupational Therapist | 3440 S Jefferson St, Falls Church, VA 22041-3145 | 2016-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982172649 | Compassionate Virginia Home Care LLC | Home Health | 3425 Payne St, Suite#10, Falls Church, VA 22041 | 2018-11-10 |
| 1548752603 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3401 Charles St, Falls Church, VA 22041 | 2018-06-05 |
| 1740639947 | Sina Hedayatnia | Dentist | 5113 Leesburg Pike Ste 811, Falls Church, VA 22041 | 2016-06-08 |
| 1962896050 | Anderson Dental Associates | Dentist | 3701 S. George Mason Dr., Suite#c7n, Falls Church, VA 22041 | 2015-03-26 |
| 1841683059 | Mohammed Filali | Dentist | 5205 Leesburg Pike Suite 1406, Falls Church, VA 22041 | 2015-03-12 |
| 1376948257 | Advance Home Care. LLC | In Home Supportive Care | 5827 Columbia Pike #407, Falls Church, VA 22041 | 2014-11-04 |
| 1447674817 | Noreen Haseeb | Dentist | 3400 Payne St., Suite 101, Falls Church, VA 22041 | 2014-02-06 |
| 1174962518 | Claira E Williams | Counselor | 6016 Hardwick Place, Falls Church, VA 22041 | 2013-06-19 |
| 1306185756 | Paul Andrew Tibbits | Internal Medicine | 801 I Street Nw, Room 1225, Washington, DC 22041 | 2013-02-05 |
| 1518224559 | Qamar Raza | Nurse Practitioner | 3534 Carlin Springs Road, Falls Church, VA 22041 | 2012-04-16 |
| Find all providers in zip 22041 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154535334 | Powhatan Nursing Home, Inc | Nursing Facility/Intermediate Care Facility | 2100 Powhatan St, Falls Church, VA 22043-1940 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | 22041 |
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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.