# GOODWIN HOUSE INCORPORATED

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GOODWIN HOUSE INCORPORATED
- **Other names:** Goodwin House Bailey's Crossroads
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497098008
- **Legal business name:** GOODWIN HOUSE INCORPORATED
- **Authorized official:** ANDREW M SIEGEL (CHIEF BUSINESS DEVELOPMENT OFFICER)
- **Authorized official phone:** (703) 578-7554

## Contact information

- **Practice address:** 3440 S JEFFERSON ST, FALLS CHURCH, VA 22041-3145
- **Practice address phone:** (703) 578-7260
- **Mailing address:** 3440 S JEFFERSON ST, FALLS CHURCH, VA 22041-3145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | ALF 447573-L155 | VA | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH2559 | VA | Yes |

## Other

- **Enumeration date:** 04/02/2013
- **Last updated:** 01/07/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1639258676 | — | VA |