MR. SIMEON CHARLES SLAYTON II (NPI# 1770833030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770833030 |
| Entity Type | Individual |
| Full Name | MR. SIMEON CHARLES SLAYTON II |
| Credential | MS |
| Practice Address |
10519 Godwin Dr Manassas VA 20112-2736 |
| Practice Telephone | 7034899300 |
| Practice Fax Number | 7035300961 |
| Mailing Telephone | 7034899300 |
| Mailing Fax Number | 7035300961 |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 2705 124382 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | UNIQUE HOMES BUSINESS LICENSE | 12L24920 | 01 |
| VA | CONTRACTORS LISENCE | 2705-124382 | 01 |
| Street Address |
10519 GODWIN DR |
| City | MANASSAS |
| State | VA |
| Zip Code | 20112-2736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598016859 | Unique Homes | Durable Medical Equipment & Medical Supplies | 10519 Godwin Dr, Manassas, VA 20112-2736 | 2012-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609361849 | Rasha Jamal Hussein | Dentist | 12701 Galveston Ct, Manassas, VA 20112 | 2018-06-29 |
| 1023510500 | Brooke Newman | Speech-Language Pathologist | 14715 Bristow Road, Manassas, VA 20112 | 2018-03-01 |
| 1174837165 | Carol M Cantello | Occupational Therapist | 12676 Cobblestone Ct, Manassas, VA 20112 | 2010-08-02 |
| 1245429935 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 6360 Hoadly Rd, Manassas, VA 20112 | 2007-10-18 |
| 1780765982 | Cheryl Lynn Toulouse | Nurse Practitioner | Endocrine and Diabetes Center, 2200 Opitz Blvd, Suite 250, Woodbridge, VA 20112 | 2006-10-17 |
| 1295224889 | Priscilla Amfo | Nurse Practitioner | 6360 Hoadly Rd, Manassas, VA 20112 | 2018-05-09 |
| 1548627797 | Dawnita Truitt-calderone | Speech-Language Pathologist | 14715 Bristow Rd, Manassas, VA 20112 | 2016-01-19 |
| 1275998486 | Courtney Harless | Nurse Practitioner | 6360 Hoadly Rd, Manassas, VA 20112 | 2015-12-15 |
| 1205106069 | Andre Delray Route | Home Health Aide | 7600 Georgia Ave, Premier Health Services, Suite 323, Washington, DC 20112 | 2012-01-10 |
| 1548369390 | Mark A Bodwalk | Counselor | 6922 Newman Rd, Clifton, VA 20112-1613 | 2006-09-21 |
| Find all providers in zip 20112 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710324363 | Neurotech Na, Inc. | Durable Medical Equipment & Medical Supplies | 11220 Assett Loop Ste 101, Manassas, VA 20109-7914 | 2013-05-22 |
| 1366725434 | The Lovejoy Group, LLC | Durable Medical Equipment & Medical Supplies | 8665 Sudley Rd, #195, Manassas, VA 20110-4588 | 2011-09-24 |
| 1780964957 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 10213 Dumfries Rd, Manassas, VA 20110-7954 | 2011-08-19 |
| 1215229141 | Jmh Management Services Inc. | Durable Medical Equipment & Medical Supplies | 14029 Baneberry Cir, Manassas, VA 20112-8860 | 2011-05-11 |
| 1134451818 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6400 Hoadly Rd, Manassas, VA 20112-3436 | 2010-02-05 |
| 1841476280 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 9900 Sowder Village Sq, Manassas, VA 20109-5464 | 2008-01-16 |
| 1245429935 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 6360 Hoadly Rd, Manassas, VA 20112 | 2007-10-18 |
| 1891893368 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 9972 Liberia Ave Davis Ford Crossing, Manassas, VA 20110 | 2006-09-20 |
| 1013011774 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 8041 Sudley Rd, Manassas, VA 20109-8001 | 2006-09-12 |
| 1992809651 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 9200 Centreville Rd, Manassas, VA 20110-5131 | 2006-09-12 |
| Find all providers in MANASSAS | ||||
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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.