Commonwealth Care Center

LBN: Inova Health System Services
Commonwealth Care Center is an health care organization with primary practice located at 4315 Chain Bridge Rd , Fairfax VA 22030-3061. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Inova Health System Services can be contacted via phone (703) 934-5000, or through Hager, Robert via phone (703) 279-4252.

Contact Information

Primary practice address
4315 Chain Bridge Rd Fairfax VA 22030-3061
Phone: (703) 934-5000
Fax: (703) 934-5092
Website:
Map and Directions
Authorized official contact:
Name: Hager, Robert
Phone: (703) 279-4252

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH2594 Virginia

Profile Details

NPI number 1912032012
LBN Legal business name Inova Health System Services
DBA Doing business as Commonwealth Care Center
Authorized official Hager, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2007
Last updated Nov 18th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912032012 NPPES
Virginia MEDICAID 004951743
Virginia MEDICAID 004960131

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