SANDSTONE CARE VIRGINIA, LLC


Address: 11415 Isaac Newton Sq S, Reston, VA 20190-5005
Phone: 2029352885

SANDSTONE CARE VIRGINIA, LLC (NPI# 1659993731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659993731
Entity Type Organization
Organization Name SANDSTONE CARE VIRGINIA, LLC
Practice Address 11415 Isaac Newton Sq S
Reston
VA 20190-5005
Mailing Address 7555 E Hampden Ave Ste 103
Denver
CO 80231-4832
Practice Telephone 2029352885
Mailing Telephone 7203721490
Enumeration Date 2020-05-12
Last Update Date 2020-05-12
Authorized Official Name MARCELLO LA ROCCA (EXECUTIVE DIRECTOR)
Authorized Official Telephone 7203721490
Is Organization Subpart Y
Parent Organization Name SANDSTONE CARE, LLC DE

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 11415 ISAAC NEWTON SQ S
City RESTON
State VA
Zip Code 20190-5005

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1336796481 Sandra Chiunda Nurse Practitioner 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 2019-08-23
1891357232 Beyond Counseling, Inc. Clinic/Center 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 2019-07-06
1003470063 Sarah Katharina Jungnitsch Registered Nurse Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 2019-04-25
1194202341 May Health Care Services Inc Home Health 12110 Sunset Hills Road Suite 600, Reston, VA 20190 2018-07-20
1245739895 Carlee B. Genung Physician Assistant 1760 Reston Parkway Suite 306, Reston, VA 20190 2018-02-09
1760901045 Kristen Kelly Dietitian, Registered 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 2017-09-18
1245778992 Sarah Christine Bernstein Occupational Therapist 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 2017-02-02
1023495298 Phillip Nguyen Dentist 1800 Town Center Dr Ste 116, Reston, VA 20190 2015-04-27
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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NPI Name Taxonomy Address Enumeration
1225637218 Endurance Cousneling and Supervision Services,llc Community/Behavioral Health 324 Lynnhaven Dr, Hampton, VA 23666-2300 2020-10-20
1861090615 Energy for Life, LLC Community/Behavioral Health 2600 Brownstone Cir, Williamsburg, VA 23185-8321 2020-10-14
1093313868 Tri Counties Behavioral Health Services, LLC Community/Behavioral Health 1807 Piney Woods Road, Lawrenceville, VA 23868 2020-10-14
1275140626 Savoy Wellness Center LLC Community/Behavioral Health 1209 N 32nd St, Richmond, VA 23223-6711 2020-09-29
1700493582 Therapeutic Services of Virginia Community/Behavioral Health 101 Deep Creek Rd, Newport News, VA 23606-2219 2020-09-25
1801402995 Strategic Therapy Associates, Inc. Community/Behavioral Health 150 W Main St Ste E, Wytheville, VA 24382-2376 2020-09-23
1396351193 Maxim Healthcare Services Inc. Community/Behavioral Health 293 Independence Blvd Ste 400, Virginia Beach, VA 23462-5461 2020-09-17
1083228902 Lr Counseling Services, LLC Community/Behavioral Health 5000 Owens Way, Apt. 622, Prince George, VA 23875 2020-09-08
1073127411 Youth Outreach Services Community/Behavioral Health 7050 Lakota Dr Apt 301, Woodbridge, VA 22192-5392 2020-09-02
1053924803 Foundation of Hope Mental Health Services LLC Community/Behavioral Health 857 Hardwood Dr, Chesapeake, VA 23320-9215 2020-08-30
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Competitor

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City RESTON
Zip Code 20190

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Dataset Information

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.

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