ProMedica Hospice (Fairfax) – Community Based Hospice Care Agency, NPI 1659300564
Community Based Hospice Care Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ProMedica Hospice (Fairfax)
493 Blackwell Rd Ste 319
Warrenton, VA 201862660
Phone: (540) 349-3970
Type: Location
3900, Jermantown Road, Fairfax Acres, Fairfax, Fairfax County, Virginia, 22030, United States
SUITE 460
FAIRFAX, VA 220304900
Phone: (703) 273-8693
Fax: (703) 273-8694
Type: Location
333, North Summit Street, Downtown, Toledo, Lucas County, Ohio, 43604, United States
ATTN: DEAN SHIPMAN
TOLEDO, OH 436042615
Phone: (419) 254-7841
Fax: (419) 252-6448
Type: Mailing
3975 FAIR RIDGE DR STE S125
FAIRFAX, VA 220332924
Phone: (703) 273-8693
Fax: (703) 273-8694
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-12-06
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 20186)
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