Milestone Group Homes & Nursing

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

2573 Issued in VA

Legal business name

MILESTONE GROUP HOMES & NURSING

Doing business as

Milestone Group Homes

Practice address

9014 Orange Hunt LN
Annandale, VA 22003-4126

Phone

(703) 869-1120

Fax

(187) 725-2103

NPI assigned

Apr 27, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Patrice T. Nouwezem

Title

President

Phone

70386911220

Specialties & licenses 1

Addresses

Other names 1

• MILESTONE GROUP HOMES Doing business as

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1659806545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9014 ORANGE HUNT LN",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220034126",
            "telephone_number": "703-869-1120",
            "fax_number": "187-725-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9014 ORANGE HUNT LN",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220034126",
            "telephone_number": "703-869-1120",
            "fax_number": "187-725-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE GROUP HOMES & NURSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "NOUWEZEM",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "70386911220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "2573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MILESTONE GROUP HOMES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Anne Metz, DPM
• Amanda Mae Michael, D.O.
• Mid Atlantic Plastic Surgeons LLC
• Mid-Atlantic Wound Care PLLC
• Sharon Mielnicki, PT.
• Milestone Masters Pediatric Therapy Inc
• Amanda Cataldo Miller, M.A. CCC-SLP
• Amy Miller, LCSW
• Beth Miller, MS, OTR/L
• Hazel Miller, PHARMD

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Annandale, VA
• Providers in Annandale, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.