ENDEPENDENCE CENTER OF NORTHERN VIRGINIA, INC.


Address: 3100 Clarendon Blvd, Arlington, VA 22201-5330
Phone: 7035253268

ENDEPENDENCE CENTER OF NORTHERN VIRGINIA, INC. (NPI# 1841336831) 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) 1841336831
Entity Type Organization
Organization Name ENDEPENDENCE CENTER OF NORTHERN VIRGINIA, INC.
Practice Address 3100 Clarendon Blvd
Arlington
VA 22201-5330
Practice Telephone 7035253268
Practice Fax Number 7035253585
Mailing Telephone 7035253268
Mailing Fax Number 7035253585
Enumeration Date 2007-01-29
Last Update Date 2020-08-22
Authorized Official Name MR. DAVID V BURDS (INTERIM EXECUTIVE DIRECTOR)
Authorized Official Telephone 7035253268
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251V00000X Voluntary or Charitable Agencies

Office Location

Street Address 3100 CLARENDON BLVD
City ARLINGTON
State VA
Zip Code 22201-5330

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NPI Name Taxonomy Address Enumeration
1114459609 Little Rooster Homecare Inc. Home Health 3100 Clarendon Blvd, #200, Arlington, VA 22201-5330 2017-04-03

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NPI Name Taxonomy Address Enumeration
1801314422 Michael John Harrington Specialist/Technologist 1301 N Stafford St, Arlington, VA 22201 2017-09-04
1376083352 Life We Deserve, LLC Community/Behavioral Health 1919 Clarendon Blvd Apt 538, Arlington, VA 22201 2017-02-24
1821471244 Christopher P Henry Dentist 1025 N. Fillmore St., Suite A, Arlington, VA 22201 2015-07-02
1699174714 Northstar Psychological Services Psychologist 2000 N. 15th Street, Suite G2-100, Arlington, VA 22201 2014-08-14
1861823809 Nicole Aniela Szwanke Physical Therapist 1005 N Glebe Rd Ste 410, Arlington, VA 22201 2013-12-02
1285073791 Live Longer Labs LLC Clinical Medical Laboratory 1040 N Quincy St Suite 500, Arlington, VA 22201 2013-06-18
1992093355 Deepthi Moola Student in an Organized Health Care Education/Training Program 1005 North Glebe Rd, #430, Arlington, VA 22201 2011-07-19
1245527886 Eva K Swenson Dentist 2250 Clarendon Blvd. Apt. 1212, Arlington, VA 22201 2011-07-04
1639483951 Hooman Hamidi Chiropractor 2778 Washington Blvd, Arlington, VA 22201 2010-07-28
1831400233 Stephanie A Klassner Dentist 1025 North Fillmore Street, Suite A, Arlington, VA 22201 2010-06-30
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Taxonomy Information

Taxonomy Code 251V00000X
Grouping Agencies
Classification Voluntary or Charitable

Taxonomy Definition

Definition to come...

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1437420304 American Nutrition Care Voluntary or Charitable 1114 E Pioneer Pkwy, Suite 10, Arlington, TX 76010-6494 2012-01-24
1700052065 Dental Health for Arlington, Inc. Voluntary or Charitable 201 N East St, Arlington, TX 76011-7517 2008-05-06

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1154798221 Rmhc Norfolk Voluntary or Charitable 404 Colley Ave, Norfolk, VA 23507-1911 2015-08-25
1528457389 Healing International, Inc. Voluntary or Charitable 2215 Plank Rd, 120, Fredericksburg, VA 22401-5226 2015-01-16
1417366659 Hospital Hospitality House of Richmond, Inc. Voluntary or Charitable 612 E Marshall St, Richmond, VA 23219-1846 2014-08-12
1710314273 Ronald Mcdonald House Charities of Richmond Voluntary or Charitable 2330 Monument Ave, Richmond, VA 23220-2604 2013-09-30
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Competitor

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City ARLINGTON
Zip Code 22201

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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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