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Contact Information

GOODWIN HOUSE INCORPORATED
3440 S JEFFERSON ST
FALLS CHURCH, VA22041-3145
 Phone: 703-578-7260
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
 

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for GOODWIN HOUSE INCORPORATED

NPI Number 1497098008
LBN Legal business name GOODWIN HOUSE INCORPORATED
Authorized official ANDREW SIEGEL - (CHIEF BUSINESS DEVELOPMENT OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/02/2013
Last updated 01/07/2025 - More than a year ago
Identifiers
VA License # ALF 447573-L155
VA License # NH2559
VA Medicaid 1639258676
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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