=====================================================
General NPI Number Information
=====================================================
NPI Number | 1417271842
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NATIONAL SCHOOL OF NURSING AND ALLIED HEALTH
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/14/2010
-----------------------------------------------------
Last Update Date | 03/14/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4370 RIDGEWOOD CENTER DR
-----------------------------------------------------
City | WOODBRIDGE
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22192-5348
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-763-1212
-----------------------------------------------------
Fax | 703-763-1213
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4447 TORRENCE PL
-----------------------------------------------------
City | WOODBRIDGE
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22193-5721
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-730-6688
-----------------------------------------------------
Fax | 703-763-1213
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | MR. MUSA S BANGURA SR.
-----------------------------------------------------
Credential | RIGISTERED NURSE
-----------------------------------------------------
Telephone | 703-763-1212
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------