MEDICARE: RUXTON HEALTH CARE III, LLC

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
1	314000000X	Skilled Nursing Facility	NH2733	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851315261
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RUXTON HEALTH CARE III, LLC

Provider Business Mailing Address
First Line	:	14906 JEFFERSON DAVIS HWY
Second Line	:
City	:	WOODBRIDGE
State	:	VA
Zip	:	22191-4016
Country	:	US
Telephone Number	:	703-491-6167
Fax Number	:	703-491-6969

Provider Business Practice Location Address
First Line	:	14906 JEFFERSON DAVIS HWY
Second Line	:
City	:	WOODBRIDGE
State	:	VA
Zip	:	22191-4016
Country	:	US
Telephone Number	:	703-491-6167
Fax Number	:	703-491-6969

Authorized Official
Title or Position	:	CEO
Name	:	MR. EAMONN DENNIS REILLY
Credential	:
Telephone Number	:	410-715-8900

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1215860705 — S&S HEALTH
Practice Location Address:

14906 RICHMOND HWY
WOODBRIDGE, VA
22191-4016

Practice Phone: 832-488-1701
Practice Fax:

1073537635 — DR. SAEED MAREFAT M.D., F.A.C.S.
Practice Location Address:

14908 JEFFERSON DAVIS HWY
WOODBRIDGE, VA
22191-4016

Practice Phone: 703-560-9583
Practice Fax: 703-490-5782

1063514552 — LIQAA SAID AL-KHOZAIE MD
Practice Location Address:

14914 JEFFERSON DAVIS HWY
WOODBRIDGE, VA
22191-4016

Practice Phone: 703-499-9490
Practice Fax: 703-499-9491

1578788980 — DR. YOLUNDA G DOCKETT OTD, OTR/L
Practice Location Address:

14906 JEFFERSON DAVIS HWY
WOODBRIDGE, VA
22191-4016

Practice Phone: 571-248-6556
Practice Fax:

1871707794 — MISS AMY LEA WILLIS OTR
Practice Location Address:

14906 JEFFERSON DAVIS HWY
WOODBRIDGE, VA
22191-4016

Practice Phone: 703-491-5338
Practice Fax:

1780873497 — METROPOLITAN PLASTIC SURGERY PC SAEED MAREFAT, M.D.
Practice Location Address:

14908 JEFFERSON DAVIS HWY
WOODBRIDGE, VA
22191-4016

Practice Phone: 703-491-9385
Practice Fax: 703-490-5782

Directions to “RUXTON HEALTH CARE III, LLC ” 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.