Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Derrick John Mathis, ALFA

Individual provider Nursing Home Administrator · NPI 1780822841

Derrick John Mathis, ALFA is a Nursing Home Administrator in Manassas, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2009
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Practice location Address checks out

9827 Sudley Manor Dr
Manassas, VA 20109-6232
Phone: (703) 530-7751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nursing Home Administrator (primary) Taxonomy 376G00000X · Licence 1706000192 (VA)

Record details

NPI number1780822841
Entity typeIndividual (Type 1)
GenderMale
Credentials ALFA
Sole proprietorYes
NPI enumeratedJanuary 28, 2009
Last updated in NPPESJanuary 28, 2009

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