Powhatan Nursing Home, Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NH2656 Issued in VA

Legal business name

POWHATAN NURSING HOME, INC

Practice address

2100 Powhatan St
Falls Church, VA 22043-1940

Phone

(703) 538-2400

Fax

(703) 538-5583

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Cynthia Lynn Butler, LNHA

Title

Presidentadministrator

Phone

(703) 538-2400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154535334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWHATAN ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220431940",
            "telephone_number": "703-538-2400",
            "fax_number": "703-538-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 POWHATAN ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220431940",
            "telephone_number": "703-538-2400",
            "fax_number": "703-538-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWHATAN NURSING HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENTADMINISTRATOR",
        "authorized_official_telephone_number": "703-538-2400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "VA",
            "license": "NH2656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Poutre
• Craig C. Powell, M.D.
• Jenay Alexis Powell, MD
• Powerback Rehabilitation LLC
• Patricia H. Powers, LCSW
• Abigail Kristina Poyser, AU.D.
• Mamatha Prabhakar, MD
• Nishant Prakash
• Vedalakshmi Channavajjala Prasad, DO
• Elisabetta Prat, M.D.

• Nursing Facility/Intermediate Care Facility in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Nursing Facility/Intermediate Care Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.