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ARLEIGH BURKE PAVILION
NPI 1992093553
Nursing Facility/Intermediate Care Facility in Mc Lean, VA

Active since July 18, 2011CLIA 49D0883908 · Waiver
5/5
Overall Rating
1739 KIRBY RD, MC LEAN, VA 22101(703) 506-6900 Get Directions Write a Review

NPPES record last updated: July 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Arleigh Burke Pavilion NPPES

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

ARLEIGH BURKE PAVILION (NPI 1992093553) is a healthcare organization registered as a nursing facility/intermediate care facility in Mc Lean, Virginia and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through May 30, 2027 and lists Robert Clements, Cfo, as its authorized official.

NPPES Registry Identity

NPI1992093553
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameVINSON HALL, LLC
Location Address1739 KIRBY RDMc Lean, VA 22101-4817
Mailing Address6251 Old Dominion DrMc Lean, VA 22101-4827
Phone(703) 506-6900
Organization SubpartNo
Authorized OfficialRobert ClementsCfo · (703) 538-2971
Enumeration DateJuly 18, 2011
✔ NPI 1992093553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in VA · NH2480
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Also ListedAssisted Living FacilityTaxonomy 310400000X · License FLO676570L154 (VA)
1739 KIRBY RD, Mc Lean, VA 22101
Open in Google Maps ↗

Other Names 1

Doing Business AsArleigh Burke Pavilion

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 49D0883908

Arleigh Burke Pavilion · Mc Lean, VA
Active · expires May 30, 2027
CLIA Number49D0883908
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMay 31, 2025
Certificate Expiration DateMay 30, 2027
Laboratory DirectorCissy Pottanat
Laboratory Phone(703) 506-6900
Laboratory LocationArleigh Burke Pavilion1739 Kirby Road, Mc Lean, VA 22101
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Arleigh Burke Pavilion (CMS certification number 495410), from CMS Care Compare.

Arleigh Burke Pavilion

Nursing home · Mc Lean, VA
5/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number495410
Certified Beds49 beds42 residents per day on average
Medicare & Medicaid Participant SinceDecember 17, 2012
Resident & Family CouncilResident and family councils
Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
5/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
20.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.69 · LPN 1.7 · RN 0.99
5.38 hrs per resident per day
Weekend Nurse Staffing
4.62 hrs per resident per day
Physical Therapist Staffing
0.19 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
16.7%
Registered Nurse Turnover
16.7%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
1 totaling $975.00
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 16

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

SELECT REHAB
Clinic/Center (Physical Therapy)
1739 KIRBY RD
MC LEAN, VA 22101
Fairfax County (703) 506-6900
SHALLESE ABRAMS
Occupational Therapy Assistant
1739 KIRBY RD
MC LEAN, VA 22101
Fairfax County (703) 506-6900
DANIELLE HALE
Occupational Therapist
1739 KIRBY RD
MC LEAN, VA 22101
Fairfax County (703) 506-6900
JENICA JOYCE CHEKOURAS COTA-L
Occupational Therapy Assistant
1739 KIRBY RD
MC LEAN, VA 22101
Fairfax County (703) 506-6900
ROBERT FITZGERALD PEREDDO LPTA
Physical Therapy Assistant
1739 KIRBY RD
MC LEAN, VA 22101
Fairfax County (703) 506-6900
JESSICA L LEACH
Occupational Therapist
1739 KIRBY RD
MC LEAN, VA 22101
Fairfax County (703) 506-6900
ANGELA MARIE ANKLAM M.S.,CCC-SLP
Speech-Language Pathologist
1739 KIRBY RD
MC LEAN, VA 22101
Fairfax County (703) 536-4344
KATHERINE LIBERTY CABACOY COTA
Occupational Therapy Assistant
1739 KIRBY RD
MC LEAN, VA 22101
Fairfax County (703) 506-6900

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 Vinson Hall, LLC's NPI number?

The NPI number for Vinson Hall, LLC is 1992093553. It was assigned to this organization in the NPPES registry on July 18, 2011. The provider is doing business as Arleigh Burke Pavilion.

Where is Vinson Hall, LLC located?

Vinson Hall, LLC is located at 1739 Kirby Rd, Mc Lean, VA 22101. The listed phone number is (703) 506-6900.

What is Vinson Hall, LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Vinson Hall, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0883908) is associated with this NPI, valid through May 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Vinson Hall, LLC a Medicare-certified nursing home?

Yes. Arleigh Burke Pavilion is a Medicare-certified nursing home with 49 certified beds.

What quality rating does Vinson Hall, LLC have?

CMS rates Arleigh Burke Pavilion 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Vinson Hall, LLC was last updated on July 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.