SUNRISE AT FAIR OAKS
NPI 1942506118
Assisted Living Facility in Fairfax, VA

NPI Status: Active since February 04, 2011

Contact Information

3750 JOSEPH SIEWICK DR
FAIRFAX, VA
ZIP 22033
Phone: (703) 264-0506
Fax: (703) 264-0620

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Assisted Living Facility
CLIA Number: 49D2154351
CLIA Cert. Type: Assisted Living Facility
CLIA Exp. Date: 09-10-2026

About SUNRISE AT FAIR OAKS

This page provides the complete NPI Profile along with additional information for Sunrise At Fair Oaks, a provider established in Fairfax, Virginia operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1942506118 assigned on February 2011. The practitioner's primary taxonomy code is 310400000X with license number FLO1079364L152 (VA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's other name is Sunrise At Fair Oaks. The authorized official of this NPI record is Ms. Valerie Parker (Director Of Commnity Relations)

NPI: 1942506118
Provider Legal Name: SUNRISE SENIOR LIVING
Other Organization Name: SUNRISE AT FAIR OAKS
Other Name Type: Other Name (5)
Entity Type: Organization
Location Address: 3750 JOSEPH SIEWICK DR FAIRFAX, VA 22033
Location Phone: (703) 264-0506
Location Fax: (703) 264-0620
Mailing Address: 3750 JOSEPH SIEWICK DR FAIRFAX, VA 22033
Mailing Phone: (703) 264-0506
Mailing Fax: (703) 264-0620
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 02-04-2011
Last Update Date: 02-04-2011
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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: Assisted Living Facility
Taxonomy Code: 310400000X
Type: Nursing & Custodial Care Facilities
License No.: FLO1079364L152
License State: VA
Taxonomy Description: 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.

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)
1	311500000X	Nursing & Custodial Care Facilities	Alzheimer Center (Dementia Center)	FLO1079364L152 (VA)

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: MS. VALERIE PARKER
Authorized Official Title: DIRECTOR OF COMMNITY RELATIONS
Authorized Official Phone: (703) 264-2043

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 49D2154351
Facility Type: Assisted Living Facility
Certificate Effective Date: September 11, 2024
Certificate Expiration Date: September 10, 2026
Laboratory Director: MARTINE JACQUES LOUIS
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Sunrise At Fair Oaks to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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.
1	9	4	2	5	0	6	1	1	8
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	9	8	2	10	0	12	1	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 8 + 2 + 1 + 0 + 0 + 1 + 2 + 1 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 8									8

The NPI number 1942506118 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 19 providers are registered at the same or nearby location.

BETH A MILLER OT

Occupational Therapist

3750 JOSEPH SIEWICK DR
FAIRFAX, VA
ZIP 22033

About SUNRISE AT FAIR OAKS

Location Map

Specialty - Primary Taxonomy

Assisted Living Facility

Secondary Taxonomies

Alzheimer Center (Dementia Center)

Authorized Official

MS. VALERIE PARKER

CLIA Information

Reviews for SUNRISE AT FAIR OAKS

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is SUNRISE SENIOR LIVING's NPI number?

Where is the provider located?

What is the provider's specialty?