Medical Management of Va LLC
NPI 1750612495 · Substance Abuse Rehabilitation Facility · Fairfax, VA
Medical Management of Va LLC is a Substance Abuse Rehabilitation Facility organization in Fairfax, VA (NPI 1750612495).
Provider details
- NPI number
- 1750612495
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Parent organization
- Bridging the Gaps
- Organization subpart
- Yes
- Authorized official
- Peter Ewens, Ceo(954) 587-7771
- License
- 42902001 (VA)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Horizons of Hope
Registry dates
- Enumerated
- 2010-01-20
- Last updated
- 2010-01-20
Frequently asked questions
- What is Medical Management of Va LLC's NPI number?
- Medical Management of Va LLC's National Provider Identifier (NPI) is 1750612495, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medical Management of Va LLC?
- Medical Management of Va LLC is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Medical Management of Va LLC located?
- Medical Management of Va LLC's practice location on file with NPPES is 10640 Main St, Fairfax, VA 22030-3821.
- What is Medical Management of Va LLC's phone number?
- The practice phone number listed in the NPPES registry for Medical Management of Va LLC is (954) 587-7771.
- Who is the authorized official for Medical Management of Va LLC?
- The authorized official listed on Medical Management of Va LLC's NPPES record is Peter Ewens, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medical Management of Va LLC's NPI active?
- Yes — Medical Management of Va LLC's NPI (1750612495) is active in the NPPES registry as of the last update on 2010-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.