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JESUS AND MARY CHURCH
NPI 1104767425
Durable Medical Equipment & Medical Supplies in Woodbridge, VA

Active since April 02, 2026
14970 POTOMAC HEIGHTS PL APT 113, WOODBRIDGE, VA 22191(929) 410-5754 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jesus And Mary Church NPPES

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

JESUS AND MARY CHURCH (NPI 1104767425) is a healthcare organization registered as a durable medical equipment & medical supplies in Woodbridge, Virginia and active in the NPI registry since April 2026. The organization lists Sergio Bolanos, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104767425
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameJESUS AND MARY CHURCH
Location Address14970 POTOMAC HEIGHTS PL APT 113Woodbridge, VA 22191-6261
Mailing Address14970 Potomac Heights Pl Apt 113Woodbridge, VA 22191-6261
Phone(929) 410-5754
Organization SubpartNo
Authorized OfficialSergio BolanosCeo · (929) 410-5754
Enumeration DateApril 2, 2026
NPPES CertifiedApril 2, 2026
✔ NPI 1104767425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
14970 POTOMAC HEIGHTS PL APT 113, Woodbridge, VA 22191
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesus And Mary Church's NPI number?

The NPI number for Jesus And Mary Church is 1104767425. It was assigned to this organization in the NPPES registry on April 2, 2026.

Where is Jesus And Mary Church located?

Jesus And Mary Church is located at 14970 Potomac Heights Pl Apt 113, Woodbridge, VA 22191. The listed phone number is (929) 410-5754.

What is Jesus And Mary Church's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Jesus And Mary Church was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.