NPIMap

Organization Active NPI

Erickson Living Health Services, LLC

Doing business as Erickson Living Health Services

  • Rehabilitation Clinic/Center
  • Ashburn, VA
National Provider Identifier
1437497633
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
ERICKSON LIVING HEALTH SERVICES, LLC
Doing business as
Erickson Living Health Services
Practice address
21170 Ashby Ponds Blvd
Attn: Outpatient Administrator
Ashburn, VA 20147-6128
Phone
(703) 723-1999
Fax
(410) 204-7237
NPI assigned
Jan 22, 2013
Last updated
Feb 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Authorized official

Name
Jonathan Garber
Title
Vice President
Phone
(410) 402-2323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

21170 Ashby Ponds Blvd
Attn: Outpatient Administrator
Ashburn, VA 20147-6128

Mailing address

21170 Ashby Ponds Blvd
Attn: Executive Director
Ashburn, VA 20147-6128
Phone (703) 723-1999

Other names 1

  • ERICKSON LIVING HEALTH SERVICES Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1437497633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21170 ASHBY PONDS BLVD",
            "address_2": "ATTN: EXECUTIVE DIRECTOR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476128",
            "telephone_number": "703-723-1999",
            "fax_number": "410-204-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21170 ASHBY PONDS BLVD",
            "address_2": "ATTN: OUTPATIENT ADMINISTRATOR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476128",
            "telephone_number": "703-723-1999",
            "fax_number": "410-204-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICKSON LIVING HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-22",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "GARBER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "410-402-2323"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ERICKSON LIVING HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.