MARTHA JEFFERSON HOUSE - NPI 1093445165 - Clinic/Center in Charlottesville, VA

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QR0400X and a focus in Rehabilitation.

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About Martha Jefferson House NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTHA JEFFERSON HOUSE (NPI 1093445165) is a healthcare organization registered as a rehabilitation in Charlottesville, Virginia and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through August 21, 2026 and lists Heather Joanna Parrott, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1093445165

Entity TypeOrganization

Primary Taxonomy261QR0400X

Legal Business NameMARTHA JEFFERSON HOUSE

Location Address1600 GORDON AVECharlottesville, VA 22903-1944

Mailing Address1600 Gordon AveCharlottesville, VA 22903-1944 · (434) 293-6136

Phone(434) 293-6136

Organization SubpartNo

Authorized OfficialHeather Joanna ParrottExecutive Director · (540) 360-3027

Enumeration DateJune 13, 2022

NPPES CertifiedJune 13, 2022

✔ NPI 1093445165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities

Taxonomy Code261QR0400X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X

1600 GORDON AVE, Charlottesville, VA 22903

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D0890568

Martha Jefferson House/Infirmary · Charlottesville, VA

Active · expires Aug 21, 2026

CLIA Number49D0890568

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateAugust 22, 2024

Certificate Expiration DateAugust 21, 2026

Laboratory DirectorGail M. Weatherill

Laboratory Phone(434) 296-1470

Laboratory LocationMartha Jefferson House/Infirmary1600 Gordon Ave, Charlottesville, VA 22903

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CAROL LYNN ERWIN NP

Nurse Practitioner