NPIMap

Organization Active NPI

Goodwin House Home and Community Based Services

Doing business as Goodwin Home Health

  • Home Health Agency
  • Falls Church, VA
National Provider Identifier
1356673313
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOODWIN HOUSE HOME AND COMMUNITY BASED SERVICES
Doing business as
Goodwin Home Health
Practice address
3440 S Jefferson St
Falls Church, VA 22041-3145
Phone
(703) 824-1390
Fax
(703) 828-9892
NPI assigned
Feb 2, 2010
Last updated
Jul 24, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
GOODWIN HOUSE INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Andrew Mark Siegel
Title
VP Business Development
Phone
(703) 578-7554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

3440 S Jefferson St
Falls Church, VA 22041-3145

Mailing address

4800 Fillmore Ave
Alexandria, VA 22311-5070
Phone (703) 824-1390

Other names 1

  • Goodwin Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200326002172 VA Part A Provider - Home Health Agency 7214366244 Practice locations: Falls Church, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356673313. Details of each certification follow.

Home health agency certification: CCN 497662

Legal name
GOODWIN HOUSE HOME AND COMMUNITY BASED SERVICES
Doing business as
GOODWIN HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 12, 2010
Last certification
Jul 31, 2013
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Sep 18, 2019 in VA
Enrollment address
3440 S Jefferson St
Falls Church, VA 22041-3145

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Goodwin Home HealthCCN 497662 · All quality measures
Overall star rating
3 of 5
Ownership
Non-Profit
Certified
Oct 12, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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.

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Holly Hanisian Individual Corporate OfficerChief of Staff Jan 2, 2020
Corporate DirectorBoard Member Sep 18, 2020
Andrew Siegel Individual Corporate OfficerChief Business Development Officer Jan 2, 2020
Corporate DirectorBoard Member Sep 18, 2019
Robert a Liebreich Individual Corporate OfficerChief Executive Officer Sep 18, 2019
Corporate DirectorBoard Member Sep 18, 2019
Goodwin House Incorporated Organization, Alexandria, VA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 2, 2020 100%
Melinda T Gren Individual W-2 Managing EmployeeVP Performance and Operations Jan 2, 2020

Owners & managing parties with NPI records 4

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

Change-of-ownership history 2

DateEventCounterparty
Jan 2, 2020 Change of OwnershipThis provider was the buyer Virginian Home Health ServicesCCN 497662, VA, NPI 1356673313
Jan 2, 2020 Change of OwnershipThis provider was the seller Goodwin Home HealthCCN 497662, VA, NPI 1356673313

Practitioners & affiliated clinicians

Affiliated clinicians 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1356673313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 FILLMORE AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223115070",
            "telephone_number": "703-824-1390",
            "fax_number": "703-782-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 S JEFFERSON ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220413145",
            "telephone_number": "703-824-1390",
            "fax_number": "703-828-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWIN HOUSE HOME AND COMMUNITY BASED SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOODWIN HOUSE INCORPORATED",
        "enumeration_date": "2010-02-02",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "VP BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "703-578-7554"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodwin Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.