NPIMap

Organization Active NPI

Neighborhood Health

Doing business as Neighborhood Health at South County Center

  • Federally Qualified Health Center (FQHC)
  • Alexandria, VA
National Provider Identifier
1710544283
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NEIGHBORHOOD HEALTH
Doing business as
Neighborhood Health at South County Center
Practice address
8350 Richmond Hwy Ste 301
Alexandria, VA 22309-2344
Phone
(703) 535-5538
NPI assigned
May 21, 2019
Last updated
May 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Authorized official

Name
Remonica Rainey
Title
Accounting Manager
Phone
(703) 778-0639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

8350 Richmond Hwy Ste 301
Alexandria, VA 22309-2344

Mailing address

PO Box 4320
Glen Allen, VA 23058-4320
Phone (703) 778-0639

Other names 1

  • Neighborhood Health at South County Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040707000325 DC Part B Supplier - Clinic/Group Practice 7517853419 Receives reassigned benefits from 100 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fairfax, VA; Annandale, VA; Alexandria, VA
O20190724000597 VA Part A Provider - Federally Qualified Health Center (FQHC) 7517853419 Practice locations: Alexandria, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710544283. Details of each certification follow.

Federally qualified health center certification: CCN 491966

Legal name
NEIGHBORHOOD HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 6, 2019
Last certification
Jun 6, 2019
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 7, 1997 in VA
Enrollment address
8350 Richmond Hwy
Ste 301
Alexandria, VA 22309-2344

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

National Provider Directory

National Provider Directory
Tax ID family
Neighborhood Health23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Alisa Whyte Individual Corporate DirectorBoard Vice President Aug 21, 2017
Miriam Aguila Individual Corporate DirectorBoard Member Oct 5, 2015
Nora Partlow Individual Corporate DirectorBoard Member Dec 16, 2019
Basim N Khan Individual Contracted Managing Employee Feb 9, 2015
5% Or Greater Indirect Ownership Interest Feb 9, 2015
Corporate DirectorExecutive Director Feb 9, 2015
W-2 Managing Employee Feb 9, 2015
Operational/Managerial ControlExecutive Director Feb 9, 2015
Lisa Chimento Individual Corporate DirectorBoard Treasurer/Secretary Sep 20, 2020
Michael Millman Individual Corporate DirectorBoard President Mar 30, 2015
Muhammad Arif Individual Corporate DirectorBoard Member Dec 17, 2018
Ramona White Individual Corporate DirectorBoard Member Jan 20, 2025
Lolita Youmans Individual Corporate DirectorBoard Member Dec 20, 2021
Elhafedh Talebimijine Individual Corporate DirectorBoard Member Mar 18, 2019

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Basim Khan
    • Internal Medicine Physician
    • Alexandria, VA
    • NPI 1477880045

    5% Or Greater Indirect Ownership Interest, Contracted Managing Employee, Corporate Director, Operational/Managerial Control, W-2 Managing Employee

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1710544283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4320",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230584320",
            "telephone_number": "703-778-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 RICHMOND HWY STE 301",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223092344",
            "telephone_number": "703-535-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "RAINEY",
        "authorized_official_first_name": "REMONICA",
        "authorized_official_title_or_position": "ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "703-778-0639"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neighborhood Health at South County Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.