Organization Active NPI

Safe Harbor Developmental & Recovery Care LLC

  • Physical Disabilities Residential Treatment Facility
  • Fairfax, VA
National Provider Identifier
1689525867
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
Legal business name
SAFE HARBOR DEVELOPMENTAL & RECOVERY CARE LLC
Practice address
3060 Williams Dr Ste 300
Fairfax, VA 22031-4648
Phone
(571) 275-8808
NPI assigned
Feb 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Umar Farooq
Title
Owner
Phone
(571) 275-8808

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X
Physical Disabilities Residential Treatment Facility 320700000X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

3060 Williams Dr Ste 300
Fairfax, VA 22031-4648

Mailing address

3060 Williams Dr Ste 300
Fairfax, VA 22031-4648
Phone (571) 275-8808

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1770163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1689525867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 WILLIAMS DR STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314648",
            "telephone_number": "571-275-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 WILLIAMS DR STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314648",
            "telephone_number": "571-275-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HARBOR DEVELOPMENTAL & RECOVERY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-04",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "FAROOQ",
        "authorized_official_first_name": "UMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-275-8808"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.