Organization Active NPI

Inova Health Care Services

Doing business as InovaCares for Seniors

  • PACE Provider Organization
  • Fairfax, VA
National Provider Identifier
1104167212
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
INOVA HEALTH CARE SERVICES
Doing business as
InovaCares for Seniors
Practice address
4027B Olley Lane
Braddock Glen
Fairfax, VA 22032
Phone
(703) 239-5888
NPI assigned
Mar 14, 2013
Last updated
Mar 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
Mr. Robert Hager
Title
Avp
Phone
(703) 289-8651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X VA Primary

Addresses

Primary practice location

4027B Olley Lane
Braddock Glen
Fairfax, VA 22032

Mailing address

8110 Gatehouse Rd
Suite 600
Falls Church, VA 22042-1252
Phone (703) 289-8651

Other names 1

  • InovaCares for Seniors Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fair Oak Hospital37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

Locations

4027B Olley Ln
Fairfax, VA 22032
Phone (703) 239-5888

8110 Gatehouse Rd
Ste 600
Falls Church, VA 22042

NPI Registry JSON

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1104167212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 GATEHOUSE RD",
            "address_2": "SUITE 600",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421252",
            "telephone_number": "703-289-8651",
            "fax_number": "703-205-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4027B OLLEY LANE",
            "address_2": "BRADDOCK GLEN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22032",
            "telephone_number": "703-239-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INOVA HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "HAGER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "AVP",
        "authorized_official_telephone_number": "703-289-8651",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InovaCares for Seniors",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.