8000 Iliff Drive Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

00000 Issued in VA

Legal business name

8000 ILIFF DRIVE OPERATIONS LLC

Doing business as

Iliff Nursing and Rehabilitation Center

Practice address

8000 Iliff Dr
Dunn Loring, VA 22027-1235

Phone

(703) 560-1000

Fax

(703) 560-1010

NPI assigned

Jul 22, 2015

Last updated

Jul 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael T Berg

Title

Assistant Secretary

Phone

(505) 468-4742

Specialties & licenses 1

Addresses

Other names 1

• Iliff Nursing and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1245615152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 ILIFF DR",
            "city": "DUNN LORING",
            "state": "VA",
            "postal_code": "220271235",
            "telephone_number": "703-560-1000",
            "fax_number": "703-560-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 ILIFF DR",
            "city": "DUNN LORING",
            "state": "VA",
            "postal_code": "220271235",
            "telephone_number": "703-560-1000",
            "fax_number": "703-560-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "8000 ILIFF DRIVE OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "505-468-4742"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "00000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iliff Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Advanced Practice Post Acute Care Management, PLLC
• Jawad M Bajwa, M.D.
• Antara Bansal
• Jennifer Guzi Casolaro, NP
• Jonathan Youngkwon Chang, DDS

• Skilled Nursing Facility in Dunn Loring, VA
• Providers in Dunn Loring, 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 Jul 22, 2015; 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.