BRIGHTVIEW FAIR OAKS, LLC (NPI# 1952940322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952940322 |
| Entity Type | Organization |
| Organization Name | BRIGHTVIEW FAIR OAKS, LLC |
| Practice Address |
12725 Lee Highway Fairfax VA 22030 |
| Practice Telephone | 5714955907 |
| Practice Fax Number | 5714955908 |
| Mailing Telephone | 5714955907 |
| Mailing Fax Number | 5714955908 |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |
| Authorized Official Name | DAVID GREYDANUS (AUTHORIZED SIGNATORY) |
| Authorized Official Telephone | 4109620595 |
| Is Organization Subpart | N |
| 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 |
| Street Address |
12725 LEE HIGHWAY |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| 1265946750 | Serene Solutions Counseling & Consulting Services, LLC | Community/Behavioral Health | 10621 Jones Street, 201b, Fairfax, VA 22030 | 2017-11-20 |
| Find all providers in zip 22030 | ||||
| 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 |
| 1407004278 | Arden Courts-fair Oaks of Fairfax Va LLC | Assisted Living Facility | 12469 Lee Jackson Memorial Hwy, Fairfax, VA 22033-2803 | 2008-09-04 |
| 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.