FAIRFAX NURSING CENTER, INC
NPI 1386636116
Skilled Nursing Facility in Fairfax, VA

Active since August 18, 2005
10701 MAIN ST, FAIRFAX, VA 22030(703) 273-7705(703) 273-9066 Get Directions Write a Review

NPPES record last updated: August 7, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fairfax Nursing Center, Inc NPPES

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

FAIRFAX NURSING CENTER, INC (NPI 1386636116) is a healthcare organization registered as a skilled nursing facility in Fairfax, Virginia and active in the NPI registry since August 2005. The organization lists Renee Bainum Carlson, Executive Administrator, as its authorized official.

NPPES Registry Identity

NPI1386636116
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameFAIRFAX NURSING CENTER, INC
Location Address10701 MAIN STFairfax, VA 22030-6904
Mailing Address10701 Main StFairfax, VA 22030-6904 · (703) 273-7705 · Fax (703) 273-8077
Fax(703) 273-9066
Organization SubpartNo
Authorized OfficialRenee Bainum CarlsonExecutive Administrator · (703) 273-7705
Enumeration DateAugust 18, 2005
Last NPPES UpdateAugust 7, 2015
NPI 1386636116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in VA · NH2552
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
10701 MAIN ST, Fairfax, VA 22030

Other Identifiers 4

Other442051VA · Anthem Bc/bs Provider No.
Medicare OSCAR/certification1386636116VA
Medicaid004950992VA
Other0573480001VA · Mc B Dme Provider Number

Other Providers at the Same Location NPPES 20

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

Skilled Nursing Facility
10701 MAIN ST
FAIRFAX, VA 22030
Occupational Therapy Assistant
10701 MAIN ST
FAIRFAX, VA 22030
Nurse's Aide
10701 MAIN ST
FAIRFAX, VA 22030
Nurse Practitioner (Family)
10701 MAIN ST
FAIRFAX, VA 22030
Physical Therapy Assistant
10701 MAIN ST
FAIRFAX, VA 22030
Speech-Language Pathologist
10701 MAIN ST
FAIRFAX, VA 22030
Family Medicine
10701 MAIN ST
FAIRFAX, VA 22030
Internal Medicine
10701 MAIN ST
FAIRFAX, VA 22030

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 Fairfax Nursing Center, Inc's NPI number?

The NPI number for Fairfax Nursing Center, Inc is 1386636116. It was assigned to this organization in the NPPES registry on August 18, 2005.

Where is Fairfax Nursing Center, Inc located?

Fairfax Nursing Center, Inc is located at 10701 Main St, Fairfax, VA 22030. The listed phone number is (703) 273-7705.

What is Fairfax Nursing Center, Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Fairfax Nursing Center, Inc was last updated on August 7, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.