Scarlet Haven on Aging, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

SCARLET HAVEN ON AGING, LLC

Doing business as

Scarlet Haven for the Aging

Practice address

1346 Old Bridge Rd
Suite 100
Woodbridge, VA 22192-2743

Phone

(703) 490-1197

Fax

(703) 890-3122

NPI assigned

Oct 15, 2014

Last updated

Oct 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cynthia Ann Bardwell

Title

Chief Administrative Officer

Phone

(703) 490-1197

Specialties & licenses 1

Addresses

Other names 1

• Scarlet Haven for the Aging Doing business as

Locations

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1598169872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1346 OLD BRIDGE RD",
            "address_2": "SUITE 100",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922743",
            "telephone_number": "703-490-1197",
            "fax_number": "703-890-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 OLD BRIDGE RD",
            "address_2": "SUITE 100",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922743",
            "telephone_number": "703-490-1197",
            "fax_number": "703-890-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCARLET HAVEN ON AGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "BARDWELL",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "703-490-1197"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scarlet Haven for the Aging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Savida Health, PC
• Saving Our Sons and Daughters
• Sameer Kanwar Saxena, M.D.
• Leena Ibrahim Sayed
• Scarlet Haven Nursing Care, LLC
• Scarlet Haven Residential Services
• Gene Andrew Schiappa, M.D.
• Susan Kay Schmitt Beckmann, RPH
• Amanda Schmitz, DPT, ATC
• Laura Schoenborn, MSW, LCSW

• Nurse Practitioner in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.