Organization Active NPI

Leewood VA Opco LLC

Doing business as August Healthcare at Leewood

  • Skilled Nursing Facility
  • Annandale, VA
National Provider Identifier
1790556819
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LEEWOOD VA OPCO LLC
Doing business as
August Healthcare at Leewood
Practice address
7120 Braddock Rd
Annandale, VA 22003-6007
Phone
(703) 256-9770
NPI assigned
Jan 9, 2024
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) 332-2126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

7120 Braddock Rd
Annandale, VA 22003-6007

Mailing address

7120 Braddock Rd
Annandale, VA 22003-6007
Phone (703) 256-9770

Other names 1

  • August Healthcare at Leewood Doing business as

National Provider Directory

National Provider Directory

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": "1790556819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 BRADDOCK RD",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036007",
            "telephone_number": "703-256-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 BRADDOCK RD",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036007",
            "telephone_number": "703-256-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEEWOOD VA 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": "252-332-2126"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "August Healthcare at Leewood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annandale, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.