Active NPI
Mount Vernon SNF LLC
Doing business as Mt Mount Vernon Rehabilitation and Wellness Center
- Skilled Nursing Facility
- Alexandria, VA
National Provider Identifier
1245136449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MOUNT VERNON SNF LLC
- Doing business as
- Mt Mount Vernon Rehabilitation and Wellness Center
- Practice address
- 8111 Tis Well Dr
Alexandria, VA 22306-3211 - Phone
- (703) 360-4000
- NPI assigned
- Oct 15, 2026
- Last updated
- Oct 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matt Kosman
- Title
- Authorized Official
- Phone
- (855) 557-1427
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
8111 Tis Well Dr
Alexandria, VA 22306-3211
Mailing address
8111 Tis Well Dr
Alexandria, VA 22306-3211
Other names 1
- Mt Mount Vernon Rehabilitation and Wellness Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792022400000",
"number": "1245136449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8111 TIS WELL DR",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223063211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8111 TIS WELL DR",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223063211",
"telephone_number": "703-360-4000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNT VERNON SNF LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-15",
"last_updated": "2026-10-15",
"certification_date": "2026-10-15",
"status": "A",
"authorized_official_last_name": "KOSMAN",
"authorized_official_first_name": "MATT",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "855-557-1427"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mt Mount Vernon Rehabilitation and Wellness Center",
"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 Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.