NPIMap

Organization Active NPI

Harrison House, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Annandale, VA
National Provider Identifier
1194887042
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
343-02-001 Issued in VA
Legal business name
HARRISON HOUSE, INC.
Practice address
5105Q Backlick Rd
Annandale, VA 22003-6005
Phone
(703) 256-6474
Fax
(703) 256-1596
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Authorized official

Name
Jessica Arbaugh
Title
Director of Payer Services
Phone
(954) 368-0888

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 343-02-029 VA
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 343-02-001 VA Primary

Addresses

Primary practice location

5105Q Backlick Rd
Annandale, VA 22003-6005

Mailing address

5105Q Backlick Rd
Annandale, VA 22003-6005
Phone (703) 256-6474

Other names 1

  • Harrison House of Virginia Other name

National Provider Directory

National Provider Directory
Tax ID family
Harrison House Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

6299 Leesburg Pike
Falls Church, VA 22044
Phone (571) 569-6543

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1194887042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105Q BACKLICK RD",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036005",
            "telephone_number": "703-256-6474",
            "fax_number": "703-256-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105Q BACKLICK RD",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036005",
            "telephone_number": "703-256-6474",
            "fax_number": "703-256-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "ARBAUGH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "DIRECTOR OF PAYER SERVICES",
        "authorized_official_telephone_number": "954-368-0888"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "VA",
            "license": "343-02-029",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "VA",
            "license": "343-02-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harrison House of Virginia",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Harrison House of Virginia",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.