ARDEN COURTS-FAIR OAKS OF FAIRFAX VA LLC (NPI# 1407004278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407004278 |
| Entity Type | Organization |
| Organization Name | ARDEN COURTS-FAIR OAKS OF FAIRFAX VA LLC |
| Other Organization Name | ARDEN COURTS OF FAIR OAKS |
| Practice Address |
12469 Lee Jackson Memorial Hwy Fairfax VA 22033-2803 |
| Mailing Address |
333 N Summit St Attn Barry A Lazarus Toledo OH 43604-1531 |
| Practice Telephone | 7033830060 |
| Practice Fax Number | 7033831237 |
| Mailing Telephone | 4192525541 |
| Mailing Fax Number | 4192545494 |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |
| Authorized Official Name | MR. BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENT) |
| Authorized Official Telephone | 4192525541 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Arden Courts of Fair Oaks | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Arden Courts-Fair Oaks of Fairfax VA LLC | 333 N Summit St, Toledo, Ohio 43604 |
| Street Address |
12469 LEE JACKSON MEMORIAL HWY |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-2803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588060784 | Cloud Therapy Consulting Inc | Physical Medicine & Rehabilitation | 12469 Lee Jackson Memorial Hwy, Fairfax, VA 22033-2803 | 2014-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194194761 | Inova Health System Services | Assisted Living Facility | 4300 George Mason Blvd, Fairfax, VA 22030-4295 | 2015-09-24 |
| 1659839389 | Ffi Virginian Tenant LLC | Assisted Living Facility | 9229 Arlington Blvd, Fairfax, VA 22031-2504 | 2019-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547425 | Noble Senior Living At Culpepper | Assisted Living Facility | 215 Southridge Pkwy, Culpeper, VA 22701-3762 | 2020-10-28 |
| 1902405566 | Noble Senior Living At Warrenton LLC | Assisted Living Facility | 239 Alexandria Pike, Warrenton, VA 20186-2947 | 2020-10-23 |
| 1083238950 | Hcp Falls Church Va Opco, LLC | Assisted Living Facility | 330 N Washington St, Falls Church, VA 22046-3431 | 2020-06-05 |
| 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 |
| 1053897413 | Brightview Residential Care | Assisted Living Facility | 1106 Snead Pl, Herndon, VA 20170-3500 | 2018-07-18 |
| 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.