Ruxton Health Care III, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH2733 Issued in VA

Legal business name

RUXTON HEALTH CARE III, LLC

Practice address

14906 Jefferson Davis Hwy
Woodbridge, VA 22191-4016

Phone

(703) 491-6167

Fax

(703) 491-6969

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Eamonn Dennis Reilly

Title

Ceo

Phone

(410) 715-8900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ruxton Health of Woodbridge Doing business as

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851315261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14906 JEFFERSON DAVIS HWY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914016",
            "telephone_number": "703-491-6167",
            "fax_number": "703-491-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14906 JEFFERSON DAVIS HWY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914016",
            "telephone_number": "703-491-6167",
            "fax_number": "703-491-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUXTON HEALTH CARE III, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "EAMONN",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-715-8900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4953614",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ruxton Health of Woodbridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Seth Rumbley, LCSW
• Jennifer M-E Runner, RESIDENT IN MFT
• Abigail Yvonne Runyans, PA-C
• Marlane Russell - Williams, MA, NCC, RIC
• Peter Cary Rustan, FNP-C
• S. Carrington, Inc
• S&S Health
• Justin Jeffrey Saadein-Morales, MBA
• Hajeer Sabet, MD
• Aman Sachdev, D.D.S

• Skilled Nursing Facility in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Skilled Nursing Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.