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LIFE TREE CARE CENTER INC
NPI 1366267304
Clinic/Center - Adult Day Care in Fairfax, VA

Active since November 15, 2024
11240 WAPLES MILL RD STE 201, FAIRFAX, VA 22030(434) 212-0460(703) 570-7668 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Life Tree Care Center Inc NPPES

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

LIFE TREE CARE CENTER INC (NPI 1366267304), doing business as Life Tree Adult Day Care, is a healthcare organization registered as an adult day care in Fairfax, Virginia and active in the NPI registry since November 2024. The organization lists Kyong Hoon Ko, President, as its authorized official.

NPPES Registry Identity

NPI1366267304
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameLIFE TREE CARE CENTER INC
Location Address11240 WAPLES MILL RD STE 201Fairfax, VA 22030-6078
Mailing Address11240 Waples Mill Rd Ste 201Fairfax, VA 22030-6078 · (434) 212-0460 · Fax (703) 570-7668
Phone(434) 212-0460
Fax(703) 570-7668
Organization SubpartNo
Authorized OfficialKyong Hoon KoPresident · (434) 212-0460
Enumeration DateNovember 15, 2024
NPPES CertifiedNovember 15, 2024
✔ NPI 1366267304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X
Also ListedHospice Care, Community BasedTaxonomy 251G00000X
Also ListedNursing CareTaxonomy 251J00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
Also ListedAssisted Living FacilityTaxonomy 310400000X
Also ListedAssisted Living Facility · Assisted Living, Mental IllnessTaxonomy 3104A0625X
Also ListedAssisted Living Facility · Assisted Living, Behavioral DisturbancesTaxonomy 3104A0630X
Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X
Also ListedSkilled Nursing FacilityTaxonomy 314000000X
Also ListedSkilled Nursing Facility · Nursing Care, PediatricTaxonomy 3140N1450X
11240 WAPLES MILL RD STE 201, Fairfax, VA 22030
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Other Names 7

Doing Business AsLife Tree Adult Day Care
Doing Business AsLife Tree Assisted Living
Doing Business AsLife Tree Home Care
Doing Business AsLife Tree Nursing Home & Rehabilitation
Doing Business AsLife Tree Palliative Care
Doing Business AsLife Tree Urgent Care
Doing Business AsLife Tree Wellness Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUN MEDICAL LLC
Internal Medicine
11240 WAPLES MILL RD STE 201
FAIRFAX, VA 22030
Fairfax City (703) 223-5496
NOVA CARE WELLNESS
Home Health
11240 WAPLES MILL RD STE 201
FAIRFAX, VA 22030
Fairfax City (347) 668-5413

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 Life Tree Care Center Inc's NPI number?

The NPI number for Life Tree Care Center Inc is 1366267304. It was assigned to this organization in the NPPES registry on November 15, 2024. The provider is doing business as Life Tree Adult Day Care, Life Tree Assisted Living, Life Tree Home Care and Life Tree Nursing Home & Rehabilitation. Additional names are listed in the Other Names section above.

Where is Life Tree Care Center Inc located?

Life Tree Care Center Inc is located at 11240 Waples Mill Rd Ste 201, Fairfax, VA 22030. The listed phone number is (434) 212-0460.

What is Life Tree Care Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

When was this NPI record last updated?

The NPPES record for Life Tree Care Center Inc was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.