MARY WASHINGTON HEALTHCARE CLINICAL SERVICES, INC. (NPI# 1891017141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891017141 |
| Entity Type | Organization |
| Organization Name | MARY WASHINGTON HEALTHCARE CLINICAL SERVICES, INC. |
| Other Organization Name | MARY WASHINGTON HOSPICE |
| Practice Address |
2300 Fall Hill Ave Ste 401 Fredericksburg VA 22401-3343 |
| Practice Telephone | 5407413581 |
| Mailing Telephone | (540) 741-1667 |
| Mailing Fax Number | 5407413581 |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | DR. MICHAEL P. MCDERMOTT (PRESIDENT & CEO) |
| Authorized Official Telephone | 5407411414 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | HSP-1044 | VA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1891017141 | 05 | |
| VA | BC/BS RICHMOND/ROANOKE | 337457 | 01 |
| VA | CARE FIRST/BC/BS | HG8 | 01 |
| Other Name | Type Code |
|---|---|
| Mary Washington Hospice | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5012 Southpoint Pkwy, Fredericksburg, VA 224072660 | 5407411667 | 5407413581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548629645 | Mary Washington Healthcare Clinical Services, Inc. | Clinic/Center | 15394 Kings Hwy, Montross, VA 22520-2746 | 2016-02-17 |
| Street Address |
2300 FALL HILL AVE STE 401 |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-3343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407814163 | Mary Washington Hospital, Inc. | Home Health | 2300 Fall Hill Ave Ste 401, Fredericksburg, VA 22401-3343 | 2006-05-03 |
| 1780183533 | Carolyn Ann Pyle-duke | Registered Nurse | 2300 Fall Hill Ave Ste 401, Fredericksburg, VA 22401-3343 | 2018-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114550134 | Athc - Hospice, LLC | Hospice Care, Community Based | 1121 Heatherstone Dr, Fredericksburg, VA 22407-4828 | 2020-02-18 |
| 1922503358 | Ave Maria Hospice of Fredericksburg, LLC | Hospice Care, Community Based | 204 S. Adams St. #a, Fredericksburg, TX 78624 | 2018-03-27 |
| 1437696879 | New Century Hospice of Richmond, LLC | Hospice Care, Community Based | 1440 Central Park Blvd, Suite 100c, Fredericksburg, VA 22401-4931 | 2017-01-24 |
| 1831189059 | Greater Hill Country Hospice | Hospice Care, Community Based | 808 Reuben St, Brune Building - 2nd Floor, Fredericksburg, TX 78624-4436 | 2005-10-27 |
| 1952547143 | Cuidado Casero Home Care of Virginia Inc | Hospice Care, Community Based | 4547 Empire Ct, Fredericksburg, VA 22408-1949 | 2008-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112678 | A Step Above Health Services | Hospice Care, Community Based | 2450 Randolph Creek Rd, New Canton, VA 23123-2418 | 2020-10-23 |
| 1881293835 | Riverside Health Source LLC | Hospice Care, Community Based | 289 Hospital Rd, Tappahannock, VA 22560-5145 | 2020-10-21 |
| 1699373449 | Affinity Care of Virginia LLC | Hospice Care, Community Based | 714 Thimble Shoals Blvd Ste C, Newport News, VA 23606-2574 | 2020-10-14 |
| 1730786138 | Serenity First, LLC | Hospice Care, Community Based | 4915 Fitzhugh Ave, Richmond, VA 23230-3544 | 2020-10-08 |
| 1477169811 | Advance Care Hospice, LLC | Hospice Care, Community Based | 585 Southlake Blvd Ste A, North Chesterfield, VA 23236-3198 | 2020-09-21 |
| 1689285660 | Va State Transportation LLC | Hospice Care, Community Based | 11079 Quail Whistle Dr, Glen Allen, VA 23059-5200 | 2020-08-12 |
| 1386263499 | Trinity Hospice 1, LLC | Hospice Care, Community Based | 1401 Kempsville Road, Suite A, Unit 1, Chesapeake, VA 23320 | 2020-04-09 |
| 1548893951 | 24/7 We Care, LLC | Hospice Care, Community Based | 900 Granby St, Norfolk, VA 23510-2503 | 2020-02-14 |
| 1548806573 | All-4-one Home Healthcare Services, Inc. | Hospice Care, Community Based | 1629 Salem Rd Ste 101, Virginia Beach, VA 23456-5494 | 2019-11-25 |
| 1679122915 | Loving Angel's Health Care LLC | Hospice Care, Community Based | 24958 Castleton Dr, Chantilly, VA 20152-4392 | 2019-09-10 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
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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.