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MS. ROSE MUDIDA
NPI 1164143871
Nursing Home Administrator in Alexandria, VA

Active since September 09, 2022
4400 W BRADDOCK RD, ALEXANDRIA, VA 22304(703) 379-6000(703) 671-8897 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Rose Mudida NPPES

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

MS. ROSE MUDIDA (NPI 1164143871) is an individual nursing home administrator provider in Alexandria, Virginia, licensed in Virginia (H1871) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1164143871
Entity TypeIndividualFemale
Primary Taxonomy376G00000X
Provider Legal NameMS. ROSE MUDIDA
Location Address4400 W BRADDOCK RDAlexandria, VA 22304-1099
Mailing Address4400 W Braddock RdAlexandria, VA 22304-1010 · (703) 379-6000 · Fax (703) 671-8897
Phone(703) 379-6000
Fax(703) 671-8897
Sole ProprietorNo
Enumeration DateSeptember 9, 2022
NPPES CertifiedSeptember 8, 2022
✔ NPI 1164143871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Home AdministratorNursing Service Related Providers
Taxonomy Code376G00000X
License✔ Licensed in VA · H1871
Definition
An individual, often licensed by the state, who is responsible for the management of a nursing home.
4400 W BRADDOCK RD, Alexandria, VA 22304
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Other Providers at the Same Location NPPES 2

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

MARY R. LADSON
Religious Nonmedical Nursing Personnel
4400 W BRADDOCK RD
ALEXANDRIA, VA 22304
Alexandria City (703) 379-6000
LYNN HOUSE OF POTOMAC VALLEY INC
Religious Nonmedical Nursing Personnel
4400 W BRADDOCK RD
ALEXANDRIA, VA 22304
Alexandria City (703) 379-6000

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 Rose Mudida's NPI number?

The NPI number for Rose Mudida is 1164143871. It was assigned to this individual provider in the NPPES registry on September 9, 2022.

Where is Rose Mudida located?

Rose Mudida practices at 4400 W Braddock Rd, Alexandria, VA 22304. The listed phone number is (703) 379-6000.

What is Rose Mudida's specialty?

The primary specialty registered for this NPI is Nursing Home Administrator with taxonomy code 376G00000X.

When was this NPI record last updated?

The NPPES record for Rose Mudida was last updated on September 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.