Active NPI
Insight Memory Care Center
- Adult Day Care Clinic/Center
- Fairfax, VA
National Provider Identifier
1306851043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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
- Inova Kellar Center
- Inova Reston MRI Center LLC (Fairfax Pet CT Imaging Center)
- Inova Vna Home Health
- Inovacares for Seniors
- Insight Health Corp (Rayus Radiology)
- Inspired Courage Counseling and Consultation
- Integrated Dermatology of Fairfax, LLC
- Integrated Wellness & Weightloss Center LLC
- Integrative Psychotherapy Institute
- Internal Medicine of Fair Oaks, LLC
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.