GOODWIN HOUSE ALEXANDRIA
NPI 1629069851
Skilled Nursing Facility in Alexandria, VA

Active since November 05, 2005
4800 FILLMORE AVE, ALEXANDRIA, VA 22311(703) 824-1290(703) 824-1241 Get Directions Write a Review

NPPES record last updated: January 11, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Goodwin House Alexandria NPPES

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

GOODWIN HOUSE ALEXANDRIA (NPI 1629069851) is a healthcare organization registered as a skilled nursing facility in Alexandria, Virginia and active in the NPI registry since November 2005. The organization lists Kathleen S Anderson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629069851
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGOODWIN HOUSE INCORPORATED
Location Address4800 FILLMORE AVEAlexandria, VA 22311-5070
Mailing Address4800 Fillmore AveAlexandria, VA 22311-5070 · (703) 824-1290 · Fax (703) 824-1241
Fax(703) 824-1241
Organization SubpartNo
Authorized OfficialKathleen S AndersonCeo · (703) 824-1355
Enumeration DateNovember 5, 2005
Last NPPES UpdateJanuary 11, 2013
NPI 1629069851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in VA · NH2560
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
4800 FILLMORE AVE, Alexandria, VA 22311

Other Names 1

Doing Business AsGoodwin House Alexandria

Other Identifiers 2

Medicaid4950577VA
Medicare OSCAR/certification495057VA

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 49D1001950

Goodwin House Alexandria · Alexandria, VA
Expired · Jul 23, 2026
CLIA Number49D1001950
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 24, 2024
Certificate Expiration DateJuly 23, 2026
Laboratory DirectorCharity A. Ampong
Laboratory Phone(703) 824-1000
Laboratory LocationGoodwin House Alexandria4800 Fillmore Avenue Attn Catherine Farmer, Alexandria, VA 22311
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 16

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

Pharmacist
4800 FILLMORE AVE
ALEXANDRIA, VA 22311
Physical Therapy Assistant
4800 FILLMORE AVE
ALEXANDRIA, VA 22311
Occupational Therapist (Ergonomics)
4800 FILLMORE AVE
ALEXANDRIA, VA 22311
Physical Therapy Assistant
4800 FILLMORE AVE
ALEXANDRIA, VA 22311
Physical Therapy Assistant
4800 FILLMORE AVE
ALEXANDRIA, VA 22311
Occupational Therapist
4800 FILLMORE AVE
ALEXANDRIA, VA 22311
Occupational Therapist
4800 FILLMORE AVE
ALEXANDRIA, VA 22311
Speech-Language Pathologist
4800 FILLMORE AVE
ALEXANDRIA, VA 22311

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 Goodwin House Incorporated's NPI number?

The NPI number for Goodwin House Incorporated is 1629069851. It was assigned to this organization in the NPPES registry on November 5, 2005. The provider is doing business as Goodwin House Alexandria.

Where is Goodwin House Incorporated located?

Goodwin House Incorporated is located at 4800 Fillmore Ave, Alexandria, VA 22311. The listed phone number is (703) 824-1290.

What is Goodwin House Incorporated's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Goodwin House Incorporated was last updated on January 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.