NPIMap

Organization Active NPI

Catholic Charaties Diocese of Arlington

  • Primary Care Clinic/Center
  • Manassas, VA
National Provider Identifier
1801630801
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CATHOLIC CHARATIES DIOCESE OF ARLINGTON
Practice address
9380 Forestwood LN Ste B
Manassas, VA 20110-4735
Phone
(703) 335-2779
Fax
(703) 420-8993
NPI assigned
Jun 24, 2024
Organization subpart
Yes
Parent organization
CATHOLIC CHARATIES DIOCESE OF ARLINGTONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Mrs. Alexandra Luevano, RN
Title
Program Director
Phone
(703) 420-8992

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Multi-Specialty Clinic/Center 261QM1300X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

9380 Forestwood LN Ste B
Manassas, VA 20110-4735

Mailing address

9380 Forestwood LN Ste B
Manassas, VA 20110-4735
Phone (703) 335-2779

Other practice location 1

13900 Church Hill Dr
Woodbridge, VA 22191-2131
Phone (703) 335-2779

Other names 1

  • Mother of Mercy Free Medical Clinic Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2166458Mother of Mercy Free Medical Clinic9380 Forestwood Lane, Unit B, Manassas, VA 20110Provider-performed microscopyApr 5, 2028

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities Arli4 organizations share this tax ID, including this one
Part of
Catholic Charities Arli

Other organizations with this tax ID 3

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

Locations

9380 Forestwood Ln
Ste B
Manassas, VA 20110
Phone (703) 335-2779

13900 Church Hill Dr
Woodbridge, VA 22191
Phone (703) 335-2779

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

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": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1801630801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9380 FORESTWOOD LN STE B",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104735",
            "telephone_number": "703-335-2779",
            "fax_number": "703-420-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9380 FORESTWOOD LN STE B",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104735",
            "telephone_number": "703-335-2779",
            "fax_number": "703-420-8993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13900 Church Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221912131",
            "country_code": "US",
            "telephone_number": "703-335-2779",
            "fax_number": "703-420-8993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CATHOLIC CHARATIES DIOCESE OF ARLINGTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC CHARATIES DIOCESE OF ARLINGTON",
        "enumeration_date": "2024-06-24",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "LUEVANO",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "703-420-8992",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mother of Mercy Free Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.