Provider Demographics
NPI:1346240389
Name:GREENSPRING VILLAGE, INC.
Entity type:Organization
Organization Name:GREENSPRING VILLAGE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:K
Authorized Official - Last Name:WALTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-402-2315
Mailing Address - Street 1:7440 SPRING VILLAGE DRIVE
Mailing Address - Street 2:ATTN: EXECUTIVE DIRECTOR
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150-4446
Mailing Address - Country:US
Mailing Address - Phone:703-923-4600
Mailing Address - Fax:410-204-7237
Practice Address - Street 1:7400 SPRING VILLAGE DRIVE
Practice Address - Street 2:ATTN: HOME HEALTH ADMINISTRATOR
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22150-4480
Practice Address - Country:US
Practice Address - Phone:703-923-4600
Practice Address - Fax:410-204-7237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-29
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA497596Medicare Oscar/Certification