# NORTHERN VIRGINIA HEALTH CENTER COMMISSION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BIRMINGHAM GREEN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477586550
- **Authorized official:** PERRY MASON (CFO)
- **Authorized official phone:** (703) 257-0935

## Contact information

- **Practice address:** 8605 CENTREVILLE RD, MANASSAS, VA 20110-5265
- **Practice address phone:** (703) 257-0935
- **Practice address fax:** (703) 257-6242
- **Mailing address:** 8605 CENTREVILLE RD, MANASSAS, VA 20110-5265
- **Mailing address phone:** (703) 257-0935
- **Mailing address fax:** (703) 257-6242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH2507 | VA | Yes |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 01/15/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004960645 | — | VA |
| 05 | — | 1477586550 | — | VA |