Fairfax Operator LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FAIRFAX OPERATOR LLC

Practice address

10701 Main St
Fairfax, VA 22030-6904

Phone

(703) 273-7705

Fax

(703) 273-0366

NPI assigned

Oct 19, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Elazar Fischer

Title

Chief of Operations

Phone

(804) 664-6046

Specialties & licenses 1

Addresses

Other names 1

• Fairfax Rehabilitation and Nursing Center Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Skilled nursing facility certification: CCN 495099

Legal name

FAIRFAX OPERATOR LLC

Doing business as

FAIRFAX NURSING AND REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Apr 1, 1976

Last certification

May 5, 2022

Beds

200

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Medical Facilities of America

Organization structure

LLCProprietary

Incorporated

Aug 17, 2020 in DE

Enrollment address

10701 Main St
Fairfax, VA 22030-6904

Nursing home name

FAIRFAX REHABILITATION AND NURSING CENTER

Affiliated entity

LIFEWORKS REHAB

Listed as

Fairfax Rehabilitation and Nursing CenterCCN 495099

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

1 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Apr 1, 1976

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

200188.5 residents per day on average

Chain

Lifeworks Rehab64 facilities in the chain

Penalties (3 years)

2Fines totaling $22,957

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Facilities with the same owner 39

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Albemarle Care Center LLC

  • Skilled Nursing Facility
  • Charlottesville, VA
  • NPI 1003490277

  Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Saul 2012 Family Grantor Trust

  CMS ownership
• Appomattox Care Center LLC

  • Skilled Nursing Facility
  • Appomattox, VA
  • NPI 1639753809

  Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Saul 2012 Family Grantor Trust

  CMS ownership
• Bayside SNF LLC

  • Skilled Nursing Facility
  • Virginia Beach, VA
  • NPI 1528642790

  Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust

  CMS ownership
• Beaufont Care Center LLC

  • Skilled Nursing Facility
  • Richmond, VA
  • NPI 1508440785

  Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Saul 2012 Family Grantor Trust

  CMS ownership
• Berkshire Operations LLC

  • Skilled Nursing Facility
  • Vinton, VA
  • NPI 1861076044

  Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Saul 2012 Family Grantor Trust

  CMS ownership
• Bowling Green SNF LLC

  • Skilled Nursing Facility
  • Bowling Green, VA
  • NPI 1619551801

  Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Saul 2012 Family Grantor Trust

  CMS ownership
• Burke SNF LLC

  • Skilled Nursing Facility
  • Burke, VA
  • NPI 1861076051

  Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Saul 2012 Family Grantor Trust

  CMS ownership
• Charlottesville Care Center LLC

  • Skilled Nursing Facility
  • Charlottesville, VA
  • NPI 1487238671

  Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Saul 2012 Family Grantor Trust

  CMS ownership
• Chesapeake SNF LLC

  • Skilled Nursing Facility
  • Chesapeake, VA
  • NPI 1649854837

  Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Saul 2012 Family Grantor Trust

  CMS ownership
• Colonial Heights Operator LLC

  • Skilled Nursing Facility
  • Colonial Heights, VA
  • NPI 1275174567

  Isva Holdings LLC, Jkva Holdings LLC, Mlva Holdings LLC, Virginia Care Holco LLC

  CMS ownership
• Culpeper Care Center LLC

  • Skilled Nursing Facility
  • Culpeper, VA
  • NPI 1265016455

  Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Saul 2012 Family Grantor Trust

  CMS ownership
• Franklin Facility LLC

  • Skilled Nursing Facility
  • Rocky Mount, VA
  • NPI 1154905354

  Charles 1994 Family Grantor Trust, Edward 1998 Family Grantor Trust, Saul 2012 Family Grantor Trust

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Kholood Altraifee Ahmed, MBBS

  • Geriatric Medicine (Internal Medicine) Physician
  • Ashburn, VA
  • NPI 1255180709

  Nursing home

  Care Compare affiliation
• Mustafa Rikabi, MD

  • Hospitalist Physician
  • Naples, FL
  • NPI 1588077697

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608854400000",
    "number": "1033718382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 MAIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306995",
            "telephone_number": "703-273-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 MAIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306904",
            "telephone_number": "703-273-7705",
            "fax_number": "703-273-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-12-25",
        "certification_date": "2020-12-25",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "ELAZAR",
        "authorized_official_title_or_position": "CHIEF OF OPERATIONS",
        "authorized_official_telephone_number": "804-664-6046",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairfax Rehabilitation and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fairfax Rehabilitation and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fairfax Neonatal Associates, PC
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• Fairfax Nursing Center Pharmacy
• Fairfax Nursing Center, Inc
• Fairfax OB-GYN Associates, Inc.
• Fairfax Optometry, LLC
• Fairfax Oral and Maxillofacial Surgery PC
• Fairfax Oriental Acupuncture
• Fairfax Orthodontic Associates, PLLC
• Fairfax Pediatric Therapy

• Skilled Nursing Facility in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Skilled Nursing Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.