Active NPI
Salvation Academy
- Home Health Aide
- Alexandria, VA
National Provider Identifier
1457645160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- SALVATION ACADEMY
- Practice address
- 4613 Pinecrest Office Park Dr
Unit F-G
Alexandria, VA 22312-1442 - Phone
- (703) 763-1115
- Fax
- (706) 226-3328
- NPI assigned
- May 31, 2011
- 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
- Mr. Brima Bob Deen, BA, ADBS, IMIS
- Title
- President
- Phone
- (703) 763-1115
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | VA | ||
| Home Health Aide | 374U00000X | VA | Primary |
Addresses
Primary practice location
4613 Pinecrest Office Park Dr
Unit F-G
Alexandria, VA 22312-1442
Mailing address
4613 Pinecrest Office Park Dr
Unit F-G
Alexandria, VA 22312-1442
Phone (703) 763-1115
Other names 1
- SALVATION ACADEMY MEDICAL STAFFING
National Provider Directory
National Provider Directory- Tax ID family
- Salvation Academy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Alexandria, VA
- NPI 1316272628
Locations
4613 Pinecrest Office Park Dr
Unit Fg
Alexandria, VA 22312
Phone (703) 763-1115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306800000000",
"number": "1457645160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4613 PINECREST OFFICE PARK DR",
"address_2": "UNIT F-G",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223121442",
"telephone_number": "703-763-1115",
"fax_number": "703-226-3328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4613 PINECREST OFFICE PARK DR",
"address_2": "UNIT F-G",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223121442",
"telephone_number": "703-763-1115",
"fax_number": "706-226-3328"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALVATION ACADEMY",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-31",
"last_updated": "2011-05-31",
"status": "A",
"authorized_official_last_name": "DEEN",
"authorized_official_first_name": "BRIMA",
"authorized_official_middle_name": "BOB",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-763-1115",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "BA, ADBS, IMIS"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "VA",
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SALVATION ACADEMY MEDICAL STAFFING",
"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 May 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.