# GOODWIN HOUSE INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Goodwin House Bailey's Crossroads
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639258676
- **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) 820-1488
- **Practice address fax:** (703) 824-1241
- **Mailing address:** 4800 FILLMORE AVE, ALEXANDRIA, VA 22311-5070
- **Mailing address phone:** (703) 824-1290
- **Mailing address fax:** (703) 824-1241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH2559 | VA | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 09/02/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4951719 | — | VA |