NPIMap

Organization Active NPI

Goodwin House Home and Community Based Services

  • Multi-Specialty Clinic/Center
  • Alexandria, VA
National Provider Identifier
1144969296
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
GOODWIN HOUSE HOME AND COMMUNITY BASED SERVICES
Practice address
5000 Fairbanks Ave
Alexandria, VA 22311-1246
Phone
(703) 578-7195
NPI assigned
May 27, 2022
Organization subpart
Yes
Parent organization
GOODWIN HOUSE INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Melinda T Gren, PT, DPTNPI 1215163621
Title
VP Performance and Operations, HCBS
Phone
(703) 578-7195

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

5000 Fairbanks Ave
Alexandria, VA 22311-1246

Mailing address

5000 Fairbanks Ave
Alexandria, VA 22311-1246
Phone (703) 797-3869

Other names 1

  • Goodwin Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221121002389 DC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7214366244 Receives reassigned benefits from 21 practitioners
Practice locations: Arlington, VA; MC Lean, VA; Alexandria, VA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Goodwin House Home and Community Based Services3 organizations share this tax ID, including this one
Part of
Goodwin House Incorporated

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1144969296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 FAIRBANKS AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111246",
            "telephone_number": "703-797-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 FAIRBANKS AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111246",
            "telephone_number": "703-578-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWIN HOUSE HOME AND COMMUNITY BASED SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOODWIN HOUSE INCORPORATED",
        "enumeration_date": "2022-05-27",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "GREN",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP PERFORMANCE AND OPERATIONS, HCBS",
        "authorized_official_telephone_number": "703-578-7195",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodwin Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Goodwin Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.