CSP NOVA LLC (NPI# 1538473418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538473418 |
| Entity Type | Organization |
| Organization Name | CSP NOVA LLC |
| Other Organization Name | DULLES HEALTH & REHAB CENTER |
| Practice Address |
2978 Centreville Road Herndon VA 20171-6253 |
| Mailing Address |
5372 Fallowater Ln Suite 200 Roanoke VA 24018-0907 |
| Practice Telephone | 7039345000 |
| Practice Fax Number | 7039345092 |
| Mailing Telephone | 5407258910 |
| Mailing Fax Number | 5407258914 |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2016-03-08 |
| Authorized Official Name | MRS. DEBORAH L PETRINE (OWNER/PRESIDENT) |
| Authorized Official Telephone | 5407258910 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH2594 | VA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 004951743 | 05 |
| Other Name | Type Code |
|---|---|
| Dulles Health & Rehab Center | Doing Business As Name - Organization |
| Street Address |
2978 CENTREVILLE ROAD |
| City | HERNDON |
| State | VA |
| Zip Code | 20171-6253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417587312 | Herndon Modern Dentistry, PC | Dentist | 2537 John Milton Dr., Reston, VA 20171 | 2020-01-20 |
| 1689196529 | Susan Ngatia | Occupational Therapist | 2978 Centerville Rd., Herndon, VA 20171 | 2017-07-12 |
| 1932634375 | Angelic Home Care,llc | Home Health | 13800 Coppermine Road, Suite 175, Herndon, VA 20171 | 2017-04-24 |
| 1952855348 | Attentive Home Care Inc | Registered Nurse | 13578 Cedar Run Ln, Herndon, VA 20171 | 2016-08-15 |
| 1336531391 | Daniela Maria Querubin Mesina | Physical Therapist | 2978 Centreville Rd, Herndon, VA 20171 | 2015-02-28 |
| 1740602291 | Herndon Dental Arts At Woodland Park, Pllc | Dentist | 12973 Highland Crossing Drive, Ste B, Herndon, VA 20171 | 2014-01-16 |
| 1295165801 | Grace Greenan | Counselor | 13600 Frying Pan Road, Herndon, VA 20171 | 2013-11-18 |
| 1356770390 | Eunjoo Lee | Behavioral Analyst | 12936 Cedar Glen Lane, Herndon, VA 20171 | 2013-11-08 |
| 1043539919 | Wesam Hassen Moustafa Hussein | Internal Medicine | 13326 Horsepen Woods Lane, Herndon, VA 20171 | 2010-05-18 |
| 1740516996 | Fadi Alhrashi | Dentist | 13609 Flying Squirrel Dr, Herndon, VA 20171 | 2009-10-22 |
| Find all providers in zip 20171 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.