Active NPI
Harborgrid Inc
- Durable Medical Equipment & Medical Supplies
- Woodbridge, VA
National Provider Identifier
1780352575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- HARBORGRID INC
- Practice address
- 12720 Knightsbridge Dr
Woodbridge, VA 22192-5158 - Phone
- (434) 339-4114
- NPI assigned
- Sep 6, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Justin Jeffrey Saadein-Morales, MBA
- Title
- Managing Partner
- Phone
- (678) 650-6400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
12720 Knightsbridge Dr
Woodbridge, VA 22192-5158
Mailing address
4196 Merchant PLZ Ste 441
Woodbridge, VA 22192-5085
Phone (434) 339-4114
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| RESTful URL | https://elb-harborgrid-37835.aptible.in |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Contractor
- Woodbridge, VA
- NPI 1992473797
-
- Registered Nurse
- Covington, GA
- NPI 1831867647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630886400000",
"number": "1780352575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4196 MERCHANT PLZ STE 441",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221925085",
"telephone_number": "434-339-4114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12720 KNIGHTSBRIDGE DR",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221925158",
"telephone_number": "434-339-4114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARBORGRID INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-06",
"last_updated": "2021-09-06",
"certification_date": "2021-09-06",
"status": "A",
"authorized_official_last_name": "SAADEIN-MORALES",
"authorized_official_first_name": "JUSTIN",
"authorized_official_middle_name": "JEFFREY",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "678-650-6400",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "REST",
"endpointTypeDescription": "RESTful URL",
"endpoint": "https://elb-harborgrid-37835.aptible.in",
"affiliation": "N",
"endpointDescription": "Default",
"address_1": "12720 Knightsbridge Dr",
"city": "Woodbridge",
"state": "VA",
"country_code": "US",
"postal_code": "221925158",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.