Healthcare Provider Details

I. General information

NPI: 1952513715
Provider Name (Legal Business Name): VINSON HALL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1739 KIRBY RD
MCLEAN VA
22101-4817
US

IV. Provider business mailing address

6251 OLD DOMINION DR
MCLEAN VA
22101-4827
US

V. Phone/Fax

Practice location:
  • Phone: 703-506-6900
  • Fax: 703-506-2149
Mailing address:
  • Phone: 703-536-4344
  • Fax: 703-538-2999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberFX.06-675-L154
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License NumberNH2480
License Number StateVA

VIII. Authorized Official

Name: MS. TYNA L GAYLOR
Title or Position: COO
Credential: CPA
Phone: 703-538-2971