Provider Demographics
NPI:1376866046
Name:ACHIEVEMENT REHABILITATION SERVICES
Entity Type:Organization
Organization Name:ACHIEVEMENT REHABILITATION SERVICES
Other - Org Name:VIRGINIA HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF CLINICAL SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:SALE
Authorized Official - Last Name:COREY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:703-333-5288
Mailing Address - Street 1:2841 HARTLAND RD
Mailing Address - Street 2:SUITE 307
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22043-3500
Mailing Address - Country:US
Mailing Address - Phone:703-333-5288
Mailing Address - Fax:703-333-5952
Practice Address - Street 1:3855 CENTERVIEW DR
Practice Address - Street 2:SUITE 100
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20151-3285
Practice Address - Country:US
Practice Address - Phone:703-431-3202
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-09
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-326PC251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health