BRIGHTVIEW FAIRFAX, LLC


Address: 3450 Gallows Road, Annandale, VA 22003
Phone: 7034629998

BRIGHTVIEW FAIRFAX, LLC (NPI# 1093165672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093165672
Entity Type Organization
Organization Name BRIGHTVIEW FAIRFAX, LLC
Other Organization Name BRIGHTVIEW WOODBURN
Practice Address 3450 Gallows Road
Annandale
VA 22003
Practice Telephone 7034629998
Practice Fax Number 7039927915
Mailing Telephone 7034629998
Mailing Fax Number 7039927915
Enumeration Date 2016-06-15
Last Update Date 2020-11-06
Authorized Official Name DAVID GREYDANUS (AUTHORIZED SIGNATORY)
Authorized Official Telephone 4109620595
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 311500000X Alzheimer Center (Dementia Center) Nursing & Custodial Care Facilities
Y 310400000X Assisted Living Facility Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Brightview Woodburn Doing Business As Name - Organization

Office Location

Street Address 3450 GALLOWS ROAD
City ANNANDALE
State VA
Zip Code 22003

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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Notes: [7/1/2003: new]

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1316567761 Care Oasis Assisted Living Providers LLC Assisted Living Facility 21573 Green Spring Rd, Abingdon, VA 24211-5847 2020-04-25
1316566417 Eugene H. Bloom Retirement Center Assisted Living Facility 308 Weaver Ave, Emporia, VA 23847-1232 2020-04-09
1912533449 Ariel Safe Haven Assisted Living, LLC Assisted Living Facility 9607 Leavells Rd, Fredericksburg, VA 22407-4313 2020-03-16
1659935880 Silverlion Prince William Commons, LLC Assisted Living Facility 14080 Central Loop, Woodbridge, VA 22193-1438 2019-04-23
1306315627 Dawn Coker Assisted Living Facility 18321 Nob Hill Dr, Triangle, VA 22172-1303 2018-11-15
1508341231 Pamela Sonia Bynum-doles Assisted Living Facility 716 W 2nd Ave, Franklin, VA 23851-2102 2018-09-27
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Competitor

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City ANNANDALE
Zip Code 22003

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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