1. Home
  2. Directory
  3. Virginia
  4. Annandale
  5. Assisted Living Facility
  6. NPI Profile

BRIGHTVIEW WOODBURN
NPI 1093165672
Assisted Living Facility in Annandale, VA

Active since June 15, 2016CLIA 49D2114889 · Waiver
3450 GALLOWS ROAD, ANNANDALE, VA 22003(703) 462-9998(703) 992-7915 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 6, 2020, Jul 19, 2017, Jun 15, 2016 (3 updates tracked since 2016).

About Brightview Woodburn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIGHTVIEW WOODBURN (NPI 1093165672) is a healthcare organization registered as an assisted living facility in Annandale, Virginia and active in the NPI registry since June 2016. The organization holds a CLIA Waiver certificate valid through June 21, 2028 and lists David Greydanus, Authorized Signatory, as its authorized official.

NPPES Registry Identity

NPI1093165672
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBRIGHTVIEW FAIRFAX, LLC
Location Address3450 GALLOWS ROADAnnandale, VA 22003
Mailing Address3450 Gallows RoadAnnandale, VA 22003 · (703) 462-9998 · Fax (703) 992-7915
Phone(703) 462-9998
Fax(703) 992-7915
Organization SubpartNo
Authorized OfficialDavid GreydanusAuthorized Signatory · (410) 962-0595
Enumeration DateJune 15, 2016
Last NPPES UpdateNovember 6, 20203 updates tracked since enumeration
NPPES CertifiedNovember 6, 2020
✔ NPI 1093165672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
Also ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X
3450 GALLOWS ROAD, Annandale, VA 22003
Open in Google Maps ↗

Other Names 1

Doing Business AsBrightview Woodburn

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2114889

Brightview Fairfax, LLC (dba Brightview Woodburn) · Annandale, VA
Active · expires Jun 21, 2028
CLIA Number49D2114889
Laboratory TypeAssisted Living Facility
Certificate Effective DateJune 22, 2026
Certificate Expiration DateJune 21, 2028
Laboratory DirectorKaren G. Stewart
Laboratory Phone(703) 462-9998
Laboratory LocationBrightview Fairfax, LLC (dba Brightview Woodburn)3450 Gallows Road, Annandale, VA 22003
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brightview Fairfax, LLC's NPI number?

The NPI number for Brightview Fairfax, LLC is 1093165672. It was assigned to this organization in the NPPES registry on June 15, 2016. The provider is doing business as Brightview Woodburn.

Where is Brightview Fairfax, LLC located?

Brightview Fairfax, LLC is located at 3450 Gallows Road, Annandale, VA 22003. The listed phone number is (703) 462-9998.

What is Brightview Fairfax, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Brightview Fairfax, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2114889) is associated with this NPI, valid through June 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brightview Fairfax, LLC was last updated on November 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.