Active NPI
Iliff Opco LLC
Doing business as August Healthcare at Iliff
- Skilled Nursing Facility
- Dunn Loring, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ILIFF OPCO LLC
- Doing business as
- August Healthcare at Iliff
- Practice address
- 8000 Iliff Dr
Dunn Loring, VA 22027-1235 - Phone
- (703) 560-1000
- Fax
- (703) 643-4780
- NPI assigned
- Jan 9, 2024
- Last updated
- Jan 9, 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
- Itamar Binyomin Cohen
- Title
- Ceo
- Phone
- (252) 331-2126
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
8000 Iliff Dr
Dunn Loring, VA 22027-1235
Mailing address
8000 Iliff Dr
Dunn Loring, VA 22027-1235
Phone (703) 560-1000
Other names 1
- August Healthcare at Iliff
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250603002095 | VA | Part A Provider - Skilled Nursing Facility | 6709315930 | Practice locations: Dunn Loring, VA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1700657822. Details of each certification follow.
Skilled nursing facility certification: CCN 495205
- Legal name
- ILIFF OPCO LLC
- Doing business as
- AUGUST HEALTHCARE AT ILIFF
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Nov 29, 1989
- Last certification
- Mar 23, 2023
- Beds
- 130
- Ownership / control type
- Corporation
- Most recent change of ownership
- Aug 15, 2019
- Organization structure
- LLC
- Enrollment address
- 8000 Iliff Dr
Dunn Loring, VA 22027-1235 - Nursing home name
- AUGUST HEALTHCARE AT ILIFF
- Affiliated entity
- AUGUST HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- August Healthcare at Iliff
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Nov 29, 1989
- Medicare certification status
- Active
- Certified beds
- 130
- Chain
- August Healthcare
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Piyush R Patel | Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Jun 1, 2024 | ||
| Iliff VA Holdco LLC | 5% Or Greater Direct Ownership Interest | Jun 1, 2024 | 100% |
| Itamar Cohen | 5% Or Greater Indirect Ownership Interest | Jun 1, 2024 | 100% |
| Operational/Managerial Control | Jun 1, 2024 | ||
| Kathy Delimba | Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Jun 1, 2024 |
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
- Centreville, VA
- NPI 1821055625
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704758400000",
"number": "1700657822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8000 ILIFF DR",
"city": "DUNN LORING",
"state": "VA",
"postal_code": "220271235",
"telephone_number": "703-560-1000",
"fax_number": "703-643-4780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 ILIFF DR",
"city": "DUNN LORING",
"state": "VA",
"postal_code": "220271235",
"telephone_number": "703-560-1000",
"fax_number": "703-643-4780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ILIFF OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-09",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A",
"authorized_official_last_name": "COHEN",
"authorized_official_first_name": "ITAMAR",
"authorized_official_middle_name": "BINYOMIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "252-331-2126"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "August Healthcare at Iliff",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dunn Loring, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.