INOVA HEALTH CARE SERVICES (NPI# 1104167212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104167212 |
| Entity Type | Organization |
| Organization Name | INOVA HEALTH CARE SERVICES |
| Other Organization Name | INOVACARES FOR SENIORS |
| Practice Address |
4027b Olley Lane Braddock Glen Fairfax VA 22032 |
| Mailing Address |
8110 Gatehouse Rd Suite 600 Falls Church VA 22042-1252 |
| Practice Telephone | 7032395888 |
| Mailing Telephone | 7032898651 |
| Mailing Fax Number | 7032052367 |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2013-03-14 |
| Authorized Official Name | MR. ROBERT HAGER (AVP) |
| Authorized Official Telephone | 7032898651 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251T00000X | PACE Provider Organization | VA | Agencies |
| Other Name | Type Code |
|---|---|
| InovaCares for Seniors | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528347341 | Inova Health Care Services | Clinic/Center | 8100 Innovation Park Dr Ste 100, Fairfax, VA 22031-4870 | 2011-08-10 |
| 1619526720 | Inova Health Care Services | Clinic/Center | 8081 Innovation Park Dr, Fairfax, VA 22031-4867 | 2019-09-11 |
| 1275097123 | Inova Health Care Services | Internal Medicine | 8081 Innovation Park Dr, Fairfax, VA 22031-4867 | 2019-01-24 |
| 1851829550 | Inova Health Care Services | Radiology | 11335 Pembrooke Sq Ste 101, Waldorf, MD 20603 | 2017-05-25 |
| 1417312422 | Inova Health Care Services | Clinical Medical Laboratory | 3300 Gallows Rd, Claude Moore Building, 2nd Floor, Falls Church, VA 22042-3307 | 2015-12-17 |
| 1174908313 | Inova Health Care Services | Assisted Living Facility | 1778 Fountain Dr, Reston, VA 20190-3390 | 2015-07-29 |
| 1881018489 | Inova Health Care Services | Pharmacy | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2014-02-18 |
| 1447687165 | Inova Health Care Services | Dietitian, Registered | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2013-09-27 |
| 1841632593 | Inova Health Care Services | Pharmacy | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2013-07-23 |
| 1437596855 | Inova Health Care Services | Clinical Medical Laboratory | 2832 Juniper St, Fairfax, VA 22031-4402 | 2013-05-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | INOVA HEALTH CARE SERVICES | 8110 Gatehouse Rd Ste 200, Falls Church, Virginia 22042 |
| Street Address |
4027B OLLEY LANE BRADDOCK GLEN |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033483839 | Inovacares for Seniors | PACE Provider Organization | 4027b Olley Lane, Braddock Glen, Fairfax, VA 22032 | 2012-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093193567 | Cynthia Leigh Pascal | Counselor | 9801 Joyce Street, Fairfax, VA 22032 | 2015-05-15 |
| 1760888432 | Judy Lim | Massage Therapist | 4205 Olley Ln, Fairfax, VA 22032 | 2014-11-07 |
| 1083015010 | Caring Heart Nursing Services LLC | Registered Nurse | 4824 Gainsborough Dr, Fairfax, VA 22032 | 2014-09-09 |
| 1598032716 | Joshua Michael Prozeralik | Pharmacist | 10310 New Guinea Road, Burke, VA 22032 | 2011-11-17 |
| 1356570071 | Azmy A. Iskander | Emergency Medicine | 10520 Acacia Lane, Fairfax, VA 22032 | 2009-07-02 |
| 1851515175 | The Pediatric Group, PC | Registered Nurse | 10527 Braddock Road, Fairfax, VA 22032 | 2007-04-11 |
| 1770634313 | Andrea L Lubeck | Nurse Practitioner | 10301 New Guinea Road, Cvs Health, Minuteclinic, Fairfax, VA 22032 | 2007-01-12 |
| 1770835993 | Catherine A Groden | Nurse Practitioner | 10301 New Guinea Rd, Target, Fairfax, VA 22032 | 2012-10-11 |
| 1790953420 | Amanda Nicole Collins | Physician Assistant | 238 Brookley Avenue, Bolling Afb, DC 22032 | 2008-02-15 |
| 1841367273 | Samer G Jarwa | Dentist | 9901 Braddock Rd, Fairfax, VA 22032 | 2006-11-29 |
| Find all providers in zip 22032 | ||||
| Taxonomy Code | 251T00000X |
| Grouping | Agencies |
| Classification | PACE Provider Organization |
| A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. |
| Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033483839 | Inovacares for Seniors | PACE Provider Organization | 4027b Olley Lane, Braddock Glen, Fairfax, VA 22032 | 2012-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871951376 | True Select, LLC | PACE Provider Organization | 3949 Pender Dr., Suite 230, Fairax, VA 22030 | 2016-01-29 |
| 1780059840 | The Long Advocacy Group | PACE Provider Organization | 483 Main Street, Warsaw, VA 22572 | 2015-12-01 |
| 1629410402 | Born Again Ministries | PACE Provider Organization | 2545 Murray Ave, Norfolk, VA 23518-4521 | 2013-07-22 |
| 1407296957 | Charlottesville Area Retirement Service, Inc. | PACE Provider Organization | 1335 Carlton Ave, Charlottesville, VA 22902-5813 | 2013-06-28 |
| 1346684974 | Innovage Virginia Pace - Roanoke Valley, LLC | PACE Provider Organization | 5251 Concourse Dr, Roanoke, VA 24019-3081 | 2013-04-25 |
| 1194098848 | Riverside Retirement Service | PACE Provider Organization | 439 Oriana Road, Newport News, VA 23608 | 2012-02-10 |
| 1447537758 | Riverside Retirement Service, Inc | PACE Provider Organization | 319 Brown St, Petersburg, VA 23803-4247 | 2011-11-15 |
| 1952547614 | Due Season Hospice and Homecare Agency, Inc | PACE Provider Organization | 3806 Chamberlayne Ave Ste 18a, Richmond, VA 23227-4110 | 2008-12-31 |
| 1366629610 | Wise Enterprise, Incorporated | PACE Provider Organization | 4895 Burnham Rd, Richmond, VA 23234-3711 | 2008-01-29 |
| 1184807661 | Mountain Empire Older Citizens, Inc. | PACE Provider Organization | 1-a Industrial Park Drive, Big Stone Gap, VA 24219-0888 | 2007-12-07 |
| Find all providers with the same taxonomy | ||||
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| 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.