Fair Oaks SNF Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FAIR OAKS SNF OPERATIONS LLC

Doing business as

Fair Oaks Health & Rehabilitation

Practice address

12475 Lee Jackson Memorial Hwy
Fairfax, VA 22033-2803

Phone

(703) 352-7172

NPI assigned

Dec 6, 2022

Last updated

Dec 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Lieberman

Title

Vice President of Procurement

Phone

(646) 275-4510

Specialties & licenses 1

Addresses

Other names 1

• Fair Oaks Health & Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972214393. Details of each certification follow.

• CCN 495217 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 495217

Legal name

FAIR OAKS SNF OPERATIONS LLC

Doing business as

FAIR OAKS HEALTH & REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 6, 1990

Last certification

Feb 5, 2025

Beds

155

Ownership / control type

Limited Liability Corporation

Most recent change of ownership

Feb 1, 2023

Organization structure

LLCProprietary

Incorporated

Nov 29, 2022 in NV

Enrollment address

12475 Route 50
Fairfax, VA 22033-2803

Nursing home name

FAIR OAKS HEALTH & REHABILITATION

Affiliated entity

HILL VALLEY HEALTHCARE

Listed as

Fair Oaks Health & RehabilitationCCN 495217 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Sep 6, 1990

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

155145.6 residents per day on average

Chain

Hill Valley Healthcare43 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Facilities with the same owner 47

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Alexandria SNF Operations LLC

  dba Alexandria Health & Rehabilitation

  • Skilled Nursing Facility
  • Alexandria, VA
  • NPI 1346951761

  CRG VA Pro 7 SNF Holdings LLC, HVH VA Pro 7 SNF Operations Holdings LLC, Lion 26 Holdings LLC, PH VA LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust, VA Pro 7 SNF Operations Holdings LLC

  CMS ownership
• Amherst SNF Operations LLC

  dba Fairmont Crossing Health and Rehab Center

  • Skilled Nursing Facility
  • Amherst, VA
  • NPI 1174297063

  Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

  CMS ownership
• Bedford SNF Operations LLC

  dba Oakwood Health and Rehab Center

  • Skilled Nursing Facility
  • Bedford, VA
  • NPI 1508530387

  Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

  CMS ownership
• Beth Sholom SNF Operations LLC

  dba Shalom Gardens Health & Rehabilitation

  • Skilled Nursing Facility
  • Richmond, VA
  • NPI 1881388510

  Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

  CMS ownership
• Blue Ridge SNF Operations LLC

  dba Blue Ridge Therapy Connection

  • Skilled Nursing Facility
  • Stuart, VA
  • NPI 1013478411

  Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

  CMS ownership
• Carlin Springs SNF Operations LLC

  dba Carlin Springs Health & Rehabilitation

  • Skilled Nursing Facility
  • Arlington, VA
  • NPI 1700597127

  CRG VA Pro 7 SNF Holdings LLC, HVH VA Pro 7 SNF Operations Holdings LLC, Lion 26 Holdings LLC, PH VA LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust, VA Pro 7 SNF Operations Holdings LLC

  CMS ownership
• Diamond Hill SNF Operations LLC

  dba Guggenheimer Health and Rehab Center

  • Skilled Nursing Facility
  • Lynchburg, VA
  • NPI 1679247563

  Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

  CMS ownership
• Evergreen SNF Operations LLC

  dba Evergreen Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Winchester, VA
  • NPI 1487221107

  Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

  CMS ownership
• Fork Union SNF Operations LLC

  dba Oakhurst Health & Rehabilitation

  • Skilled Nursing Facility
  • Fork Union, VA
  • NPI 1194441949

  Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

  CMS ownership
• Highland SNF Operations LLC

  dba Highland Ridge Rehab Center

  • Skilled Nursing Facility
  • Dublin, VA
  • NPI 1679034078

  Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

  CMS ownership
• Holly Manor SNF Operations LLC

  dba Holly Manor Rehab and Nursing

  • Skilled Nursing Facility
  • Farmville, VA
  • NPI 1235886607

  Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

  CMS ownership
• Lakeside VA SNF Operations LLC

  dba Lakeside Health & Rehabilitation

  • Skilled Nursing Facility
  • Richmond, VA
  • NPI 1427769843

  CRG VA Pro 7 SNF Holdings LLC, HVH VA Pro 7 SNF Operations Holdings LLC, Lion 26 Holdings LLC, PH VA LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust, VA Pro 7 SNF Operations Holdings LLC

  CMS ownership

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Samreen Arif Ansari, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Fairfax, VA
  • NPI 1295994465

  Nursing home

  Care Compare affiliation
• Piyush R Patel, MD

  • Internal Medicine Physician
  • Centreville, VA
  • NPI 1821055625

  Nursing home

  Care Compare affiliation
• Priyesh Kurup, MD

  • Hospitalist Physician
  • Clinton, MD
  • NPI 1962685206

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1972214393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12475 LEE JACKSON MEMORIAL HWY",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12475 LEE JACKSON MEMORIAL HWY",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332803",
            "telephone_number": "703-352-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIR OAKS SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "VICE PRESIDENT OF PROCUREMENT",
        "authorized_official_telephone_number": "646-275-4510"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fair Oaks Health & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fair Oaks Orthopaedic Associates, Inc
• Fair Oaks Podiatry and Sports
• Fair Oaks Podiatry and Sports
• Fair Oaks Skin Care Center, LTD (Fair Oaks Skin Care Center)
• Fair Oaks Smiles Pediatric Dentistry
• Fair Oaks Surgical Associates LLC
• Fair Oaks Urology, L.L.C.
• Fair Oaks Womens Center
• Fair Ridge OB/GYN Associates , PC
• Meghan Hennessy Fairbanks, MSP, CCC-SLP

• Skilled Nursing Facility in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Skilled Nursing Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.

Verify at the official NPI Registry.