Novara Recovery Center Virginia Drug & Alcohol Rehab

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

NOVARA RECOVERY CENTER VIRGINIA DRUG & ALCOHOL REHAB

Practice address

2815 Old Lee Hwy FL 2
Fairfax, VA 22031-4303

Phone

(703) 705-7870

Fax

(862) 209-2213

NPI assigned

Sep 26, 2024

Organization subpart

No

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

Authorized official

Name

Rylan Grosh

Title

Member

Phone

(703) 297-9909

Specialties & licenses 3

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1447078795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 OLD LEE HWY FL 2",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314303",
            "telephone_number": "703-705-7870",
            "fax_number": "862-209-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 OLD LEE HWY FL 2",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314303",
            "telephone_number": "703-705-7870",
            "fax_number": "862-209-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVARA RECOVERY CENTER VIRGINIA DRUG & ALCOHOL REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "GROSH",
        "authorized_official_first_name": "RYLAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "703-297-9909"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF VIRGINIA",
            "identifier": "12453",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Colin Nulty, OT

• Substance Abuse Rehabilitation Facility in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Substance Abuse Rehabilitation Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.