NPIMap

Organization Active NPI

Goodwin House Incorporated

  • Nursing Facility/Intermediate Care Facility
  • Falls Church, VA
National Provider Identifier
1497098008
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NH2559 Issued in VA
Legal business name
GOODWIN HOUSE INCORPORATED
Practice address
3440 S Jefferson St
Falls Church, VA 22041-3145
Phone
(703) 578-7260
NPI assigned
Apr 2, 2013
Organization subpart
Yes
Parent organization
GOODWIN HOUSE INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Andrew M Siegel
Title
Chief Business Development Officer
Phone
(703) 578-7554

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALF 447573-L155 VA
Nursing Facility/Intermediate Care Facility 313M00000X NH2559 VA Primary

Addresses

Primary practice location

3440 S Jefferson St
Falls Church, VA 22041-3145

Mailing address

3440 S Jefferson St
Falls Church, VA 22041-3145

Other identifiers 1

IdentifierTypeStateIssuer
1639258676MedicaidVA

Other names 1

  • Goodwin House Bailey's Crossroads Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Goodwin House Incorporated4 organizations share this tax ID, including this one
Part of
Goodwin House Incorporated

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1497098008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 S JEFFERSON ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220413145"
        },
        {
            "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": "703-578-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWIN HOUSE INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOODWIN HOUSE INCORPORATED",
        "enumeration_date": "2013-04-02",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF BUSINESS DEVELOPMENT OFFICER",
        "authorized_official_telephone_number": "703-578-7554"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "VA",
            "license": "ALF 447573-L155",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "VA",
            "license": "NH2559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639258676",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodwin House Bailey's Crossroads",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.