DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: GOODWIN HOUSE HOME AND COMMUNITY BASED SERVICES

MEDICARE: GOODWIN HOUSE HOME AND COMMUNITY BASED SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1831881481
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOODWIN HOUSE HOME AND COMMUNITY BASED SERVICES
Provider Business Mailing Address
First Line : 4800 FILLMORE AVE
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22311-5070
Country : US
Telephone Number : 703-578-7195
Fax Number :
Provider Business Practice Location Address
First Line : 3440 S JEFFERSON ST
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22041-3145
Country : US
Telephone Number : 703-578-7469
Fax Number :
Authorized Official
Title or Position : VP PERFORMANCE AND OPERATIONS, HCBS
Name : MELINDA T GREN
Credential :
Telephone Number : 703-578-7195
Provider Enumeration Date : 05/23/2023
Last Update Date : 05/11/2026

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:
2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106
Practice Phone: 605-373-0100
Practice Fax:
1588740617 — GOODWIN HOUSE INCORPORATED
Practice Location Address:
3440 S JEFFERSON ST
FALLS CHURCH, VA
22041-3145
Practice Phone: 703-578-7108
Practice Fax: 703-578-7355
1639258676 — GOODWIN HOUSE INCORPORATED
Practice Location Address:
3440 S JEFFERSON ST
FALLS CHURCH, VA
22041-3145
Practice Phone: 703-820-1488
Practice Fax: 703-824-1241
1427127125 — MRS. IRENE JOYCE HENRICH PT
Practice Location Address:
3440 S JEFFERSON ST
FALLS CHURCH, VA
22041-3145
Practice Phone: 703-578-7662
Practice Fax: 703-578-7129
1356673313 — GOODWIN HOUSE HOME AND COMMUNITY BASED SERVICES
Practice Location Address:
3440 S JEFFERSON ST
FALLS CHURCH, VA
22041-3145
Practice Phone: 703-824-1390
Practice Fax: 703-828-9892
1568756070 — DR. MARIATU KOROMA-NELSON M.D.
Practice Location Address:
3440 S JEFFERSON ST
FALLS CHURCH, VA
22041-3145
Practice Phone: 703-717-7100
Practice Fax: 703-717-4149

Directions to “GOODWIN HOUSE HOME AND COMMUNITY BASED SERVICES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.