Inova Kellar Center
LBN: Inova Kellar Center
Inova Kellar Center is an health care organization with primary practice located at 11204 Waples Mill Rd , Fairfax VA 22030-6048. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty.
Inova Kellar Center can be contacted via phone (703) 218-8500, or through Leichtweis, Rick via phone (703) 218-8500.
Contact Information
Primary practice address
11204 Waples Mill Rd
Fairfax VA 22030-6048
Phone: (703) 218-8500
Fax: (703) 359-0463
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | 033 | Virginia |
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X |
Profile Details
| NPI number | 1497808679 |
|---|---|
| LBN Legal business name | Inova Kellar Center |
| DBA Doing business as | |
| Authorized official | Leichtweis, Rick PH.D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Feb 7th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497808679 | NPPES |
| Virginia | MEDICAID | 4943902 |
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