Great Falls Wellness, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

GREAT FALLS WELLNESS, LLC

Practice address

737 Walker Rd Ste 2
Great Falls, VA 22066-2833

Phone

(703) 659-1400

NPI assigned

Nov 2, 2022

Last updated

Feb 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matt Lavin

Title

Owner/Ceo

Phone

(202) 365-8593

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1962119610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 WALKER RD STE 2",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220662833",
            "telephone_number": "703-659-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 WALKER RD STE 2",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220662833",
            "telephone_number": "703-659-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT FALLS WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "LAVIN",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "202-365-8593"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Great Falls Medical Center, LLC
• Great Falls Physical Therapy LLC
• William Edward Greygor, RPH
• Emily C Grubel, FNP
• Manuel Guillen, MD
• Farangis M Habib, MD
• Heal Now Wound Care, Inc.

• Substance Use Disorder Rehabilitation Clinic/Center in Great Falls, VA
• Providers in Great Falls, VA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.