Organization Active NPI

Certified Skilled Nursing Service & Associates

  • Nursing Care Agency
  • Dumfries, VA
National Provider Identifier
1851538359
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
HCO-09279 Issued in VA
Legal business name
CERTIFIED SKILLED NURSING SERVICE & ASSOCIATES
Practice address
18005 Main St
Dumfries, VA 22026-2473
Phone
(703) 221-2442
Fax
(703) 221-2424
NPI assigned
Jan 21, 2009
Last updated
Jan 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Authorized official

Name
Ms. Happiness Emejuru
Title
Administrator
Phone
(203) 221-2442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X HCO-09279 VA Primary

Addresses

Primary practice location

18005 Main St
Dumfries, VA 22026-2473

Mailing address

PO Box 224
Dumfries, VA 22026-0224
Phone (703) 221-2442

Other identifiers 1

IdentifierTypeStateIssuer
010107237MedicaidVA

National Provider Directory

National Provider Directory

Locations

18005 Main St
Dumfries, VA 22026
Phone (703) 221-2442

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1851538359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 224",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220260224",
            "telephone_number": "703-221-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18005 MAIN ST",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220262473",
            "telephone_number": "703-221-2442",
            "fax_number": "703-221-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED SKILLED NURSING SERVICE & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "EMEJURU",
        "authorized_official_first_name": "HAPPINESS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "203-221-2442",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "VA",
            "license": "HCO-09279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010107237",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumfries, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.