Organization Active NPI

Harborgrid Inc

  • Durable Medical Equipment & Medical Supplies
  • Woodbridge, VA
National Provider Identifier
1780352575
Registry record updated Sep 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Sep 6, 2021

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

Authorized official

Name
Mr. Justin Jeffrey Saadein-Morales, MBANPI 1992473797
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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
RESTful URL https://elb-harborgrid-37835.aptible.in

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.