Organization Active NPI

Virginia Open Senior Day Care LLC

  • Adult Day Care Clinic/Center
  • Centreville, VA
National Provider Identifier
1194690255
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
VIRGINIA OPEN SENIOR DAY CARE LLC
Practice address
5649 Mount Gilead Rd
Centreville, VA 20120-1906
Phone
(703) 280-0910
Fax
(571) 487-8751
NPI assigned
Oct 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Jonghoon Kim, ADULT DAY CARE
Title
Owner
Phone
(703) 280-0910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

5649 Mount Gilead Rd
Centreville, VA 20120-1906

Mailing address

8109 Little River Tpke
Annandale, VA 22003-2327
Phone (703) 280-0910

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1194690255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8109 LITTLE RIVER TPKE",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032327",
            "telephone_number": "703-280-0910",
            "fax_number": "571-487-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5649 MOUNT GILEAD RD",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201906",
            "telephone_number": "703-280-0910",
            "fax_number": "571-487-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA OPEN SENIOR DAY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JONGHOON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-280-0910",
        "authorized_official_credential": "ADULT DAY CARE"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.