NPIMap

Organization Active NPI

Long-Term Acute Care Hospital of Northern Virginia LLC

  • Long Term Care Hospital
  • Alexandria, VA
National Provider Identifier
1235845256
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
LONG-TERM ACUTE CARE HOSPITAL OF NORTHERN VIRGINIA LLC
Practice address
2501 Parkers LN FL 4
Alexandria, VA 22306-3209
Phone
(717) 972-1100
NPI assigned
Jan 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
John Duggan
Title
VP
Phone
(717) 972-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X Primary

Addresses

Primary practice location

2501 Parkers LN FL 4
Alexandria, VA 22306-3209

Mailing address

4714 Gettysburg Rd
Legal Dept
Mechanicsburg, PA 17055
Phone (717) 972-1100

Other names 1

  • Inova Specialty Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230421001067 VA Part A Provider - Hospital 8729443908 Practice locations: Alexandria, VA

Hospital certification: CCN 492012

Legal name
LONG-TERM ACUTE CARE HOSPITAL OF NORTHERN VIRGINIA LLC
Doing business as
INOVA SPECIALTY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Apr 1, 2024
Last certification
Apr 1, 2024
Beds
32
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Nov 14, 2017 in VA
Enrollment address
2501 Parkers LN
FL 4
Alexandria, VA 22306-3209
Main/Primary Hospital Location
Hospital subgroups
Long-term

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Inova Specialty HospitalCCN 492012
Ownership
For profit
Certified
Apr 1, 2024
Medicare certification status
ActiveFrom the Provider of Services file
Beds
-

National Provider Directory

National Provider Directory

Member of 1

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

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Hospital Holdings Corporation Organization, Mechanicsburg, PA Corporation, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2023 51%
Ish Northern Virginia LLC Organization, Mechanicsburg, PA LLC, For-profit 5% Or Greater Direct Ownership Interest May 1, 2023 100%
Select Medical Corporation Organization, Mechanicsburg, PA Corporation, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2023 100%
Operational/Managerial Control May 1, 2023 100%
Thomas Mullin Individual Corporate Officer Oct 20, 2025
Lauren M Stein Individual Corporate OfficerCeo Nov 3, 2025
Operational/Managerial ControlCeo Nov 3, 2025
John Saich Individual Corporate Officer Oct 20, 2025
Robert Breighner Individual W-2 Managing EmployeeCompliance Oct 20, 2025
Inova Holdings Inc Organization, Falls Church, VA Corporation 5% Or Greater Indirect Ownership Interest May 1, 2023 49%
Michael Malatesta Individual Corporate Officer Oct 20, 2025
Select Specialty Hospital - Oklahoma City Inc Organization, Mechanicsburg, PA Corporation, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2023 100%
Robert Kido Individual Corporate Officer Oct 20, 2025
John Duggan Individual Corporate OfficerVP May 1, 2023
Corporate Director Oct 20, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 129

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 129

Practitioners & affiliated clinicians

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1235845256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL DEPT",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "17055",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 PARKERS LN FL 4",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063209",
            "telephone_number": "717-972-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG-TERM ACUTE CARE HOSPITAL OF NORTHERN VIRGINIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inova Specialty Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.