Organization Active NPI

HCP Wilson Blvd. VA Opco, LLC

Doing business as Sunrise at Bluemont Park

  • Assisted Living Facility
  • Arlington, VA
National Provider Identifier
1538783634
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HCP WILSON BLVD. VA OPCO, LLC
Doing business as
Sunrise at Bluemont Park
Practice address
5910 Wilson Blvd
Arlington, VA 22205-1554
Phone
(703) 536-1060
Fax
(703) 444-8294
NPI assigned
Jun 4, 2020
Last updated
Jun 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Authorized official

Name
Janet Park
Title
Director of Operations
Phone
(703) 536-1060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5910 Wilson Blvd
Arlington, VA 22205-1554

Mailing address

5910 Wilson Blvd
Arlington, VA 22205-1554
Phone (703) 536-1060

Other names 1

  • Sunrise at Bluemont Park Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2196582Sunrise at Bluemont Park5910 Wilson Blvd, Arlington, VA 22205Certificate of waiverOct 18, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1538783634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 WILSON BLVD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222051554",
            "telephone_number": "703-536-1060",
            "fax_number": "703-444-8294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 WILSON BLVD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222051554",
            "telephone_number": "703-536-1060",
            "fax_number": "703-444-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCP WILSON BLVD. VA OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "703-536-1060"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise at Bluemont Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.