Life Tree Care Center Inc

LBN: Life Tree Care Center Inc
Life Tree Care Center Inc is an health care organization with primary practice located at 11240 Waples Mill Rd Ste 201 , Fairfax VA 22030-6078. The organization recently has 15 registered licenses in different health care specialties including Nursing Service Providers / Home Health, Agencies / Hospice Care, Community Based, Agencies / Nursing Care, Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Adult Day Care, Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Rehabilitation, Ambulatory Health Care Facilities / Urgent Care, Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances, Nursing & Custodial Care Facilities / Adult Care Home, Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility, Nursing & Custodial Care Facilities / Nursing Care, Pediatric. Ambulatory Health Care Facilities / Adult Day Care is the primary health care specialty. Life Tree Care Center Inc can be contacted via phone (434) 212-0460, or through Ko, Kyong Hoon via phone (434) 212-0460.

Contact Information

Primary practice address
11240 Waples Mill Rd Ste 201 Fairfax VA 22030-6078
Phone: (434) 212-0460
Fax: (703) 570-7668
Website:
Map and Directions
Authorized official contact:
Name: Ko, Kyong Hoon PMP
Phone: (434) 212-0460

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X
Agencies / Hospice Care, Community Based 251G00000X
Agencies / Nursing Care 251J00000X
Agencies / In Home Supportive Care 253Z00000X
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X
Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances 3104A0630X
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X
Nursing & Custodial Care Facilities / Nursing Care, Pediatric 3140N1450X

Profile Details

NPI number 1366267304
LBN Legal business name Life Tree Care Center Inc
DBA Doing business as
Authorized official Ko, Kyong Hoon PMP
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2024
Last updated Nov 15th, 2024 - about 2 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.

Request for update

Popular Providers