Organization Active NPI

Insight Memory Care Center

  • Adult Day Care Clinic/Center
  • Fairfax, VA
National Provider Identifier
1306851043
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
INSIGHT MEMORY CARE CENTER
Practice address
3953 Pender Dr Ste 100
Fairfax, VA 22030-0970
Phone
(703) 204-4664
Fax
(703) 204-0509
NPI assigned
Jul 30, 2006
Last updated
Apr 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Jessica Peters
Title
Assistant Director
Phone
(703) 204-4664

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary
Respite Care 385H00000X 0656267 VA

Addresses

Primary practice location

3953 Pender Dr Ste 100
Fairfax, VA 22030-0970

Mailing address

3953 Pender Dr Ste 100
Fairfax, VA 22030-0970
Phone (703) 204-4664

Other names 1

  • Alzheimer's Family Day Center Former legal business name

National Provider Directory

National Provider Directory

Locations

2812 Old Lee Hwy
Ste 210
Fairfax, VA 22031
Phone (703) 204-2828

3953 Pender Dr
Ste 100
Fairfax, VA 22030
Phone (703) 204-4664

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1306851043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3953 PENDER DR STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220300970",
            "telephone_number": "703-204-4664",
            "fax_number": "703-204-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3953 PENDER DR STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220300970",
            "telephone_number": "703-204-4664",
            "fax_number": "703-204-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT MEMORY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "703-204-4664"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "VA",
            "license": "0656267",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alzheimer's Family Day Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Apr 22, 2024; 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.