Provider Demographics
NPI:1578928982
Name:NEIGHBORHOOD STUDIOS, LLC
Entity Type:Organization
Organization Name:NEIGHBORHOOD STUDIOS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR MANAGING-MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:OVERTON
Authorized Official - Last Name:SWANN
Authorized Official - Suffix:
Authorized Official - Credentials:CPT, CES
Authorized Official - Phone:703-328-6860
Mailing Address - Street 1:PO BOX 3673
Mailing Address - Street 2:
Mailing Address - City:MERRIFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22116-3673
Mailing Address - Country:US
Mailing Address - Phone:703-791-9480
Mailing Address - Fax:
Practice Address - Street 1:7601 LITTLE RIVER TPKE
Practice Address - Street 2:SUITE 215
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-2601
Practice Address - Country:US
Practice Address - Phone:703-791-9480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-30
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)