Air Force Retired Officers Community-Washington D.C.
Organization Active NPI Skilled Nursing Facility · Sterling, VA
NPI 1477559342 · NPPES record last updated Aug 8, 2024
Key facts
- NPI
- 1477559342
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- NH2600 (VA)
- Legal business name
- AIR FORCE RETIRED OFFICERS COMMUNITY-WASHINGTON D.C.
- Practice address
- 20535 Earhart PL
Sterling, VA 20165-3581 - Phone
- (703) 404-5208
- NPI assigned
- Jun 24, 2005
- Organization subpart
- No
Authorized official
- Name
- Fred Richard Bova Jr.
- Title
- Cfo
- Phone
- (703) 404-5145
Owners & managing parties with NPI records 1
-
Said H Sana, MD
Practitioners 2
-
Lisa Degilio, NP
-
Said H Sana, MD
Affiliated clinicians 5
-
Elaine J Ahillen, M.D.
-
Richard Bivings Hilburn, M.D.
-
Mariatu Koroma-Nelson, M.D.
-
Said H Sana, MD
Medicare Care Compare: Nursing home
- Listed as
- Johnson CNTR/Falcons Landing
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- Dec 30, 1996
- Medicare certification status
- Active
- Certified beds
- 60 · 48.0 residents per day on average
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D0921936 | Falcons Landing | Certificate of waiver | Nov 7, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
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 · Non-profit
- Incorporated
- Nov 5, 1984 in VA
- Enrollment address
- 20535 Earhart PL
Sterling, VA 20165-3581 - Nursing home name
- JOHNSON CNTR/FALCONS LANDING
All disclosed owners & managing parties 5
| 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 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111128000757 | VA | Part a Provider - Skilled Nursing Facility | 8325212525 | Practice locations: Sterling, VA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH2600 | VA | Yes |
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
- The Johnson Center at Falcons Landing
Other providers in Sterling, VA
- Elaine J Ahillen
- Maryam Sultana Ahmed
- Robina Ahmed
- Sarah Ahmed
- Barbara L Ahrens
- Ayorinde Akinrinlola
- Al Mashta LLC
- Razia Alami
- Alannah Angels Care, LLC
- Humam Alathari
All providers in Sterling, VA · Skilled Nursing Facility in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.