Active NPI
Air Force Retired Officers Community-Washington D.C.
Doing business as The Johnson Center at Falcons Landing
- Skilled Nursing Facility
- Sterling, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NH2600
- Legal business name
- AIR FORCE RETIRED OFFICERS COMMUNITY-WASHINGTON D.C.
- Doing business as
- The Johnson Center at Falcons Landing
- Practice address
- 20535 Earhart PL
Sterling, VA 20165-3581 - Phone
- (703) 404-5208
- NPI assigned
- Jun 24, 2005
- Last updated
- Aug 8, 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
- Fred Richard Bova Jr.
- Title
- Cfo
- Phone
- (703) 404-5145
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH2600 | VA | Primary |
Addresses
Primary practice location
20535 Earhart PL
Sterling, VA 20165-3581
Mailing address
20535 Earhart PL
Potomac Falls, VA 20165-3581
Phone (703) 404-5142
Other names 1
- The Johnson Center at Falcons Landing
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111128000757 | VA | Part A Provider - Skilled Nursing Facility | 8325212525 | Practice locations: Sterling, VA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1477559342. Details of each certification follow.
Skilled nursing facility certification: CCN 495312
- Legal name
- AIR FORCE RETIRED OFFICERS COMMUNITY-WASHINGTON D.C.
- Doing business as
- THE JOHNSON CENTER AT FALCONS LANDING
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Dec 30, 1996
- Last certification
- May 4, 2023
- Beds
- 60
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Nov 5, 1984 in VA
- Enrollment address
- 20535 Earhart PL
Sterling, VA 20165-3581 - Nursing home name
- JOHNSON CNTR/FALCONS LANDING
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Johnson CNTR/Falcons Landing
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- Dec 30, 1996
- Medicare certification status
- Active
- Certified beds
- 60
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D0921936 | Falcons Landing | Certificate of waiver | Nov 7, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 5
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Said Sana | Adp of the SNF | May 1, 2025 | |
| Fred Bova | Corporate Officer | Apr 15, 2024 | 10% |
| Gary Arthur Handley | Corporate Officer | Nov 16, 2020 | 20% |
| Operational/Managerial Control | Nov 16, 2020 | ||
| Ashlee Warbel | Adp of the SNF | May 1, 2025 | |
| Air Force Retired Officers Community-Washington D.C. | 5% Or Greater Direct Ownership Interest | Nov 5, 1984 | 100% |
| Operational/Managerial Control | Nov 5, 1984 | 100% | |
| Adp of the SNF | May 17, 1994 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Health Nurse Practitioner
- Fairfax, VA
- NPI 1710985775
-
- Family Medicine Physician
- Ranson, WV
- NPI 1679869952
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Colonial Heights, VA
- NPI 1932121142
Nursing home
-
- Geriatric Medicine (Family Medicine) Physician
- Falls Church, VA
- NPI 1568756070
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Great Falls, VA
- NPI 1134347347
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723075200000",
"number": "1477559342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20535 EARHART PL",
"city": "POTOMAC FALLS",
"state": "VA",
"postal_code": "201653581",
"telephone_number": "703-404-5142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20535 EARHART PL",
"city": "STERLING",
"state": "VA",
"postal_code": "201653581",
"telephone_number": "703-404-5208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AIR FORCE RETIRED OFFICERS COMMUNITY-WASHINGTON D.C.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-24",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A",
"authorized_official_last_name": "BOVA",
"authorized_official_first_name": "FRED",
"authorized_official_middle_name": "RICHARD",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "703-404-5145",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "VA",
"license": "NH2600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Johnson Center at Falcons Landing",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sterling, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.