Marjorie Guerrero Cruz, RN

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

License

0001104501 Issued in VA

Practice address

6490 Wolf Run Shoals Rd
Fairfax Station, VA 22039-1742

Phone

(703) 250-1944

NPI assigned

Mar 27, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Faith Home Health Care LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1235388257
  NPD Authorized official
• Globalcare Health Services LLC

  • Community Based Hospice Care Agency
  • Las Vegas, NV
  • NPI 1831854918
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238112000000",
    "number": "1083856629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6107 CLEARBROOK DR",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502411",
            "telephone_number": "571-243-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 WOLF RUN SHOALS RD",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220391742",
            "telephone_number": "703-250-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "MARJORIE",
        "middle_name": "GUERRERO",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "VA",
            "license": "0001104501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clementine Twin Lakes, LLC
• Clifton Station LLC
• Clinical Therapy Services
• Stephen R Connor, PHD
• Ellen M Courtney
• Deana Demare Hally
• Patricia Diefenbach, ND, CNS, CPT
• Discovery Practice Management, Inc
• Jamie Michelle Durkovic, MS
• Lisa Anne Eidelkind, LCSW

• Nursing Home Administrator in Fairfax Station, VA
• Providers in Fairfax Station, VA by specialty
• Nursing Home Administrator in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.