NPIMap

Organization Active NPI

Mary Washington Healthcare Clinical Services, Inc.

  • Community Based Hospice Care Agency
  • Fredericksburg, VA
National Provider Identifier
1891017141
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HSP-1044 Issued in VA
Legal business name
MARY WASHINGTON HEALTHCARE CLINICAL SERVICES, INC.
Practice address
1340 Central Park Blvd Ste 102
Fredericksburg, VA 22401-4940
Phone
(540) 741-3580
NPI assigned
Feb 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Authorized official

Name
Christopher D Newman
Title
Ceo
Phone
(540) 741-3248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HSP-1044 VA Primary

Addresses

Primary practice location

1340 Central Park Blvd Ste 102
Fredericksburg, VA 22401-4940

Mailing address

1340 Central Park Blvd Ste 207
Fredericksburg, VA 22401-4941
Phone (540) 741-1667

Other identifiers 3

IdentifierTypeStateIssuer
337457OtherVABC/BS RICHMOND/ROANOKE
HG8OtherVACARE FIRST/BC/BS
1891017141MedicaidVA

Other names 1

  • Mary Washington Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100614000570 VA Part A Provider - Hospice 4183690340 Practice locations: Fredericksburg, VA

Hospice certification: CCN 491518

Legal name
MARY WASHINGTON HEALTHCARE CLINICAL SERVICES, INC.
Doing business as
MARY WASHINGTON HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 6, 1994
Last certification
Mar 3, 2021
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Sep 9, 1997 in VA
Enrollment address
2300 Fall Hill Ave
Ste 401
Fredericksburg, VA 22401-3343

Care Compare: Hospice

Medicare Care Compare
Listed as
Mary Washington HospiceCCN 491518
Ownership
Non-Profit
Certified
Apr 6, 1994
Medicare certification status
ActiveFrom the Provider of Services file

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
49D1050993Mary Washington Hospice1340 Central Park Boulevard, Suite 102, Fredericksburg, VA 22401Certificate of waiverFeb 16, 2028

National Provider Directory

National Provider Directory

Member organizations 19

Organizations listed as members of this organization in the National Provider Directory.

View all 19

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Martin Wilder Individual Corporate DirectorBoard Member Jan 1, 2025
Kimberly Young Individual Corporate DirectorBoard Member Jan 1, 2024
Joanne Huber-Sturans Individual Corporate OfficerSenior Vice President Jan 1, 2024
Grace B Huffman Individual W-2 Managing EmployeeMD; Jun 24, 2024
Patrick J McManus Individual Contracted Managing EmployeeMD; Nov 1, 2021
William McDaniel Individual Corporate DirectorBoard Member Jan 1, 2024
Sarah Ogle Individual Corporate OfficerAvp, Revenue Cycle Jan 1, 2025
Bruce Davis Individual Corporate DirectorBoard Member Jan 1, 2018
Mary Ailis Aiken Individual Corporate DirectorBoard Member Jan 1, 2025
Christopher D Newman Individual Corporate OfficerPresident and Ceo Mar 1, 2025
Lauren Blalock Individual Corporate OfficerVice President Jan 1, 2024
Alda White Individual Corporate DirectorBoard Member Jan 1, 2025
Dermaine Lewis Individual Corporate DirectorBoard Member Jan 1, 2024
Medicorp Health System Organization, Fredericksburg, VA Non-profit 5% Or Greater Direct Ownership Interest Apr 1, 2010 100%
Operational/Managerial Control Apr 1, 2010 100%
Sean Barden Individual Corporate OfficerChief Financial Officer Apr 1, 2010
Catherine Wack Individual Corporate DirectorBoard Member Jan 1, 2024
Anson Le Pham Individual W-2 Managing EmployeeMD; Apr 15, 2023
Cathleen Yablonski Individual W-2 Managing EmployeeAd; Jan 1, 2024
Margaret Hardy Individual Corporate DirectorBoard Member Jan 1, 2024
Agostino Visioni Individual Corporate DirectorBoard Member Jan 1, 2025
Nicholas Cadwallender Individual Corporate DirectorBoard Member Jan 1, 2024
Howard Owen Individual Corporate DirectorBoard Member Jan 1, 2024

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1891017141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 CENTRAL PARK BLVD STE 207",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014941",
            "telephone_number": "540-741-1667",
            "fax_number": "540-741-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 CENTRAL PARK BLVD STE 102",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014940",
            "telephone_number": "540-741-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY WASHINGTON HEALTHCARE CLINICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-26",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-741-3248"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "VA",
            "license": "HSP-1044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS RICHMOND/ROANOKE",
            "identifier": "337457",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST/BC/BS",
            "identifier": "HG8",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891017141",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Washington Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mary Washington Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.