BIRMINGHAM GREEN
NPI 1477586550
Nursing Facility/Intermediate Care Facility in Manassas, VA

Q: What is Northern Virginia Health Center Commission's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Active since July 09, 2006CLIA 49D0886955 · Waiver

8605 CENTREVILLE RD, MANASSAS, VA 20110(703) 257-0935(703) 257-6242 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Birmingham Green NPPES

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

BIRMINGHAM GREEN (NPI 1477586550) is a healthcare organization registered as a nursing facility/intermediate care facility in Manassas, Virginia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through May 31, 2028 and lists Perry Mason, Cfo, as its authorized official.

NPPES Registry Identity

NPI1477586550

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameNORTHERN VIRGINIA HEALTH CENTER COMMISSION

Location Address8605 CENTREVILLE RDManassas, VA 20110-5265

Mailing Address8605 Centreville RdManassas, VA 20110-5265 · (703) 257-0935 · Fax (703) 257-6242

Phone(703) 257-0935

Fax(703) 257-6242

Organization SubpartNo

Authorized OfficialPerry MasonCfo · (703) 257-0935

Enumeration DateJuly 9, 2006

Last NPPES UpdateJanuary 15, 2025

NPPES CertifiedJanuary 15, 2025

✔ NPI 1477586550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

License✔ Licensed in VA · NH2507

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

8605 CENTREVILLE RD, Manassas, VA 20110

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Other Names 1

Doing Business AsBirmingham Green

Other Identifiers 2

Medicaid004960645VA

Medicaid1477586550VA

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 49D0886955

Birmingham Green · Manassas, VA

Active · expires May 31, 2028

CLIA Number49D0886955

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateJune 1, 2026

Certificate Expiration DateMay 31, 2028

Laboratory DirectorJeffry Waldman

Laboratory Phone(703) 257-0935

Laboratory LocationBirmingham Green8605 Centreville Rd, Manassas, VA 20110

CLIA data matches this NPI record on: Address Name Phone

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

Other Providers at the Same Location NPPES 20

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

MRS. SIMONA ENRICA BETTINESCHI MITCHELL CCC-SLP

Speech-Language Pathologist