GOODWIN HOUSE INCORPORATED NPI 1588740617

NPI Information

NPI: 1588740617
Provider Name: GOODWIN HOUSE INCORPORATED

Doing Business As: GOODWIN HOUSE PALLIATIVE CARE AND HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 49D1001950

Address:
4800 FILLMORE AVE
ALEXANDRIA, VA
ZIP 22311
Phone: (703) 824-1290
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GOODWIN HOUSE INCORPORATED is a hospice care community based in Alexandria, VA. GOODWIN HOUSE INCORPORATED NPI is 1588740617. The provider is registered as an organization entity type.
The provider Is Doing Business As Goodwin House Palliative Care And Hospice.

The provider's business location address is:

4800 FILLMORE AVE
ALEXANDRIA, VA
ZIP 22311
Phone: (703) 824-1290
Fax: (703) 824-1241

The provider's authorized official is Richard T. Carter .
The authorized official title is Cfo and has the following contact phone number (703) 824-1355.

The CLIA number assigned to this NPI record is 49D1001950 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 7/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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