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

NPI Status: Active since November 15, 2024

Contact Information

11240 WAPLES MILL RD STE 201
FAIRFAX, VA
ZIP 22030
Phone: (434) 212-0460
Fax: (703) 570-7668

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  • Organization
  • Clinic/Center
  • Adult Day Care

About LIFE TREE CARE CENTER INC

This page provides the complete NPI Profile along with additional information for Life Tree Care Center Inc, a provider established in Fairfax, Virginia operating as a Clinic/center, focusing in adult day care . The healthcare provider is registered in the NPI registry with number 1366267304 assigned on November 2024. The practitioner's primary taxonomy code is 261QA0600X. The provider is registered as an organization and their NPI record was last updated one year ago. Life Tree Care Center Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Kyong Hoon Ko Pmp (President)

NPI
1366267304
Provider Name
LIFE TREE CARE CENTER INC
Entity Type
Organization
Location Address
11240 WAPLES MILL RD STE 201 FAIRFAX, VA 22030
Location Phone
(434) 212-0460
Location Fax
(703) 570-7668
Mailing Address
11240 WAPLES MILL RD STE 201 FAIRFAX, VA 22030
Mailing Phone
(434) 212-0460
Mailing Fax
(703) 570-7668
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-15-2024
Last Update Date
11-15-2024
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adult Day Care

Taxonomy Code
261QA0600X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163WH0200XNursing Service Providers

Registered Nurse
Home Health

 
2251G00000XAgencies

Hospice Care, Community Based

 
3251J00000XAgencies

Nursing Care

 
4253Z00000XAgencies

In Home Supportive Care

 
5261QP2000XAmbulatory Health Care Facilities

Clinic/Center
Physical Therapy

 
6261QR0400XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation

 
7261QU0200XAmbulatory Health Care Facilities

Clinic/Center
Urgent Care

 
8310400000XNursing & Custodial Care Facilities

Assisted Living Facility

 
93104A0625XNursing & Custodial Care Facilities

Assisted Living Facility
Assisted Living, Mental Illness

 
103104A0630XNursing & Custodial Care Facilities

Assisted Living Facility
Assisted Living, Behavioral Disturbances

 
11311ZA0620XNursing & Custodial Care Facilities

Custodial Care Facility
Adult Care Home

 
12313M00000XNursing & Custodial Care Facilities

Nursing Facility/Intermediate Care Facility

 
13314000000XNursing & Custodial Care Facilities

Skilled Nursing Facility

 
143140N1450XNursing & Custodial Care Facilities

Skilled Nursing Facility
Nursing Care, Pediatric

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KYONG HOON KO PMP

Authorized Official Title
PRESIDENT
Authorized Official Phone
(434) 212-0460

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1366267304
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23126461430
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 4 + 6 + 1 + 4 + 3 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1366267304 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

SUN MEDICAL LLC

Internal Medicine

11240 WAPLES MILL RD STE 201
FAIRFAX, VA
ZIP 22030

(703) 223-5496

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366267304, enumerated as an "organization" on November 15, 2024.

The provider is located at 11240 WAPLES MILL RD STE 201 FAIRFAX, VA 22030 and the phone number is (434) 212-0460.

Clinic/Center with taxonomy code 261QA0600X and a focus in Adult Day Care.