Envoy Of Woodbridge, Llc

LBN: Envoy Of Woodbridge, Llc
Envoy Of Woodbridge, Llc is an health care organization with primary practice located at 14906 Jefferson Davis Hwy , Woodbridge VA 22191-4016. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Envoy Of Woodbridge, Llc can be contacted via phone (703) 491-6167, or through Ussery, Kenneth via phone (407) 571-1550.

Contact Information

Primary practice address
14906 Jefferson Davis Hwy Woodbridge VA 22191-4016
Phone: (703) 491-6167
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ussery, Kenneth
Phone: (407) 571-1550

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1205089240
LBN Legal business name Envoy Of Woodbridge, Llc
DBA Doing business as
Authorized official Ussery, Kenneth
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2008
Last updated Nov 27th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205089240 NPPES
Virginia MEDICAID 1205089240
Virginia MEDICAID 4953614

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