BRIGHTVIEW FAIRFAX LLC NPI 1093165672

NPI Information

  • NPI: 1093165672
  • Provider Name: BRIGHTVIEW FAIRFAX, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: BRIGHTVIEW WOODBURN
  • CLIA Number: 49D2114889
  • Address: 3450 GALLOWS ROAD
    ANNANDALE, VA
    ZIP 22003
  • Phone: (703) 462-9998

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NPI Details

BRIGHTVIEW FAIRFAX, LLC is an assisted living facility in Annandale, VA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. BRIGHTVIEW FAIRFAX, LLC NPI is 1093165672. The provider is registered as an organization entity type.
The provider Is Doing Business As Brightview Woodburn.

The provider's business location address is:

3450 GALLOWS ROAD
ANNANDALE, VA
ZIP 22003
Phone: (703) 462-9998
Fax: (703) 992-7915

The provider's authorized official is David Greydanus .
The authorized official title is Authorized Signatory and has the following contact phone number (410) 962-0595.

The CLIA number assigned to this NPI record is 49D2114889 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/15/2016 and was last updated on 11/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes
2311500000XAlzheimer Center (Dementia Center)No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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