Center for Well Being of Burke Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

0001068875 Issued in VA

Legal business name

CENTER FOR WELL BEING OF BURKE INC

Doing business as

Lymphedema Help Center, Springfield Massage Center for Women, Burke Ma

Practice address

5417C Backlick Road
Springfield, VA 22151-3915

Phone

(703) 909-0299

Fax

(703) 451-9043

NPI assigned

Apr 23, 2007

Last updated

Aug 7, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

CENTER FOR WELL- BEING OF BURKE, INC.As reported in NPPES

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

Authorized official

Name

Mrs. Lorraine (Ann West) Hancock, RN, CMT, CLT-LANA (RNPI 1497984223

Title

Director

Phone

(703) 909-0299

Specialties & licenses 1

Addresses

Other names 1

• Lymphedema Help Center, Springfield Massage Center for Women, Burke Ma Doing business as

Part of

Center for Well Being of Burke Inc

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lorraine Ann West Hancock, RN, CMT, CIMI (R), C

  • Registered Nurse
  • Springfield, VA
  • NPI 1497984223
  NPD (past) Authorized official

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1619195526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6657 OLD BLACKSMITH DRIVE",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154139",
            "telephone_number": "703-909-0299",
            "fax_number": "703-451-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5417C BACKLICK ROAD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221513915",
            "telephone_number": "703-909-0299",
            "fax_number": "703-451-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR WELL BEING OF BURKE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR WELL- BEING OF BURKE, INC.",
        "enumeration_date": "2007-04-23",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_middle_name": "(ANN WEST)",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-909-0299",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, CMT, CLT-LANA (R"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "VA",
            "license": "0001068875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lymphedema Help Center, Springfield Massage Center for Women, Burke Ma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Medical Specialty Clinic/Center in Springfield, VA
• Providers in Springfield, VA by specialty
• Medical Specialty Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; 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.