Active NPI
Community Living Alternatives - Icf
- Intellectual Disabilities Intermediate Care Facility
- Alexandria, VA
National Provider Identifier
1942490586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- 08502006
- Legal business name
- COMMUNITY LIVING ALTERNATIVES - ICF
- Practice address
- 4123 Conrad Rd
(Formerly Courhouse Road Icf)
Alexandria, VA 22312-1155 - Phone
- (703) 352-0388
- NPI assigned
- Jul 30, 2007
- Last updated
- Aug 2, 2007
- 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
- Ms. Silva Bey
- Title
- Executive Director
- Phone
- (703) 352-0388
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 08502006 | VA | Primary |
Addresses
Primary practice location
4123 Conrad Rd
(Formerly Courhouse Road Icf)
Alexandria, VA 22312-1155
Mailing address
9401 Lee Hwy
#406
Fairfax, VA 22031-1849
Phone (703) 352-0388
Other names 1
- CLA - ICF
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1942490586. Details of each certification follow.
Intermediate care facility for individuals with intellectual disabilities certification: CCN 49G022
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- CONRAD ICF
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Apr 20, 1989
- Last certification
- Mar 10, 2023
- Beds
- 4
- Ownership / control type
- Private (non-profit)
- Facility address
- 4123 Conrad Street
Alexandria, VA 22312
National Provider Directory
National Provider Directory- Tax ID family
- Cla - Icf
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Fairfax, VA
- NPI 1922191121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186012800000",
"number": "1942490586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9401 LEE HWY",
"address_2": "#406",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220311849",
"telephone_number": "703-352-0388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4123 CONRAD RD",
"address_2": "(FORMERLY COURHOUSE ROAD ICF)",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223121155",
"telephone_number": "703-352-0388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY LIVING ALTERNATIVES - ICF",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-30",
"last_updated": "2007-08-02",
"status": "A",
"authorized_official_last_name": "BEY",
"authorized_official_first_name": "SILVA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "703-352-0388",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "VA",
"license": "08502006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CLA - ICF",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Alexandria, VA
- Commonwealth of Virginia State Board of Health (Alexandria Health Department)
- Commonwealth Orthopaedics & Rehabilitation
- Commonwealth Orthopaedics & Rehabilitation PC
- Commonwealth Orthopaedics & Rehabilitation PC
- Community Care Home Health
- Community Residences, Inc.
- Community Residences, Inc.
- Community Support Healthcare LLC
- Companion Care Solutions of Nova, LLC
- Compassion Home Care & TPT Serv LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.