Organization Active NPI

Iliff Opco LLC

Doing business as August Healthcare at Iliff

  • Skilled Nursing Facility
  • Dunn Loring, VA
National Provider Identifier
1700657822
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 IliffCCN 495205 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Nov 29, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
130105.9 residents per day on average
Chain
August Healthcare6 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Piyush R Patel Individual Operational/Managerial Control Jun 1, 2024
Adp of the SNF Jun 1, 2024
Iliff VA Holdco LLC Organization, Dunn Loring, VA Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 1, 2024 100%
Itamar Cohen Individual 5% Or Greater Indirect Ownership InterestOwner Jun 1, 2024 100%
Operational/Managerial Control Jun 1, 2024
Kathy Delimba Individual 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.

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

Verify at the official NPI Registry.