Active NPI
SH Opco the Fairfax LLC
Doing business as Belvoir Woods Heath Care Center at The Fairfax
- Skilled Nursing Facility
- Fort Belvoir, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SH OPCO THE FAIRFAX LLC
- Doing business as
- Belvoir Woods Heath Care Center at The Fairfax
- Practice address
- 9160 Belvoir Woods Pkwy
Fort Belvoir, VA 22060-2703 - Phone
- (703) 799-1200
- Fax
- (703) 781-2448
- NPI assigned
- Oct 30, 2020
- 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
- Mr. Tony J. Harris
- Title
- Senior Reimbursement Manager
- Phone
- (703) 854-0830
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
9160 Belvoir Woods Pkwy
Fort Belvoir, VA 22060-2703
Mailing address
9160 Belvoir Woods Pkwy
Fort Belvoir, VA 22060-2703
Phone (703) 799-1200
Other names 1
- Belvoir Woods Heath Care Center at The Fairfax
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201222002489 | VA | Part A Provider - Skilled Nursing Facility | 2961814652 | Practice locations: Fort Belvoir, VA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1508466343. Details of each certification follow.
Skilled nursing facility certification: CCN 495197
- Legal name
- SH OPCO THE FAIRFAX LLC
- Doing business as
- BELVOIR WOODS HEALTH CARE CENTER AT THE FAIRFAX
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Aug 2, 1989
- Last certification
- Jan 11, 2023
- Beds
- 56
- Ownership / control type
- Corporation
- Multi-facility organization
- Healthpeak Properties
- Organization structure
- LLC
- Enrollment address
- 9160 Belvoir Woods Pkwy
Fort Belvoir, VA 22060-2703 - Nursing home name
- BELVOIR WOODS HEALTH CARE CENTER AT THE FAIRFAX
- Affiliated entity
- HEALTHPEAK PROPERTIES, INC.
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Belvoir Woods Health Care Center at the Fairfax
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- For profit - Corporation
- Certified
- Aug 2, 1989
- Medicare certification status
- Active
- Certified beds
- 56
- Chain
- Healthpeak Properties, Inc.
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 |
|---|---|---|---|
| 49D0661014 | Belvoir Woods HLTH Care Ctr at Fairfax | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 21
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 |
|---|---|---|---|
| HCP S-H 2014 Member LLC | Adp of the SNF | Dec 2, 2024 | |
| Indirect Ownership Interest | Dec 2, 2024 | 100% | |
| Edward Frantz | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| Denise Falco | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| Peter Dabbenigno | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| Healthpeak Op LLC | Adp of the SNF | Oct 16, 2020 | |
| Indirect Ownership Interest | Oct 6, 2020 | 100% | |
| Sunrise Senior Living Management Inc | Operational/Managerial Control | Oct 1, 2020 | |
| Adp of the SNF | Mar 20, 2025 | ||
| Damien J. O'Riordan | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| HCP S-H Opco TRS LLC | Adp of the SNF | Oct 1, 2020 | |
| Indirect Ownership Interest | Oct 1, 2020 | 100% | |
| Patricia R. Royal | Operational/Managerial Control | Dec 2, 2024 | |
| Adp of the SNF | Dec 2, 2024 | ||
| Wendy Sekel | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| Andrew H Coelho | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| S-H 2014 Opco TRS Inc | Adp of the SNF | Dec 2, 2024 | |
| Indirect Ownership Interest | Dec 2, 2024 | 100% | |
| Healthpeak Properties Inc | Adp of the SNF | Oct 1, 2020 | |
| Indirect Ownership Interest | Oct 1, 2020 | 100% | |
| David W Painter | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| Lisa L. Thompson | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| Thomas Kessler | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| HCP S-H Sunrise Opco Holdco LLC | Adp of the SNF | Oct 1, 2020 | |
| Direct Ownership Interest | Oct 1, 2020 | 100% | |
| Tony J Harris | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| Anja R. Wells | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| Stephanie Carter | Operational/Managerial Control | Jan 1, 2010 | |
| Adp of the SNF | Jan 1, 2010 | ||
| Keith L. Bown | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Alexandria, VA
- NPI 1104888973
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 6
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba The Colonnades Healthcare Center
- Skilled Nursing Facility
- Charlottesville, VA
- NPI 1457848699
Sunrise Senior Living Management Inc
-
dba The Jefferson
- Skilled Nursing Facility
- Arlington, VA
- NPI 1821585068
Sunrise Senior Living Management Inc
-
dba The Quadrangle
- Skilled Nursing Facility
- Haverford, PA
- NPI 1043810880
Sunrise Senior Living Management Inc
-
dba Bedford Court Healthcare Center
- Skilled Nursing Facility
- Silver Spring, MD
- NPI 1376030510
Sunrise Senior Living Management Inc
-
dba Stratford Court of Boca Raton
- Skilled Nursing Facility
- Boca Raton, FL
- NPI 1003303249
Sunrise Senior Living Management Inc
-
dba Brighton Gardens of Edison
- Skilled Nursing Facility
- Edison, NJ
- NPI 1871089086
Sunrise Senior Living Management Inc
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Physical Medicine & Rehabilitation Physician
- Fort Belvoir, VA
- NPI 1619402393
Nursing home
-
- Surgery of the Hand (Surgery) Physician
- Alexandria, VA
- NPI 1669653523
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734393600000",
"number": "1508466343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9160 BELVOIR WOODS PKWY",
"city": "FORT BELVOIR",
"state": "VA",
"postal_code": "220602703",
"telephone_number": "703-799-1200",
"fax_number": "703-781-2448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9160 BELVOIR WOODS PKWY",
"city": "FORT BELVOIR",
"state": "VA",
"postal_code": "220602703",
"telephone_number": "703-799-1200",
"fax_number": "703-781-2448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SH OPCO THE FAIRFAX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-30",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "TONY",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "SENIOR REIMBURSEMENT MANAGER",
"authorized_official_telephone_number": "703-854-0830",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Belvoir Woods Heath Care Center at The Fairfax",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Belvoir Woods Heath Care Center at The Fairfax",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Belvoir, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.