COMMUNITY LIVING ALTERNATIVES, CORP. (NPI# 1922191121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922191121 |
| Entity Type | Organization |
| Organization Name | COMMUNITY LIVING ALTERNATIVES, CORP. |
| Practice Address |
9401 Lee Hwy Suite 406 Fairfax VA 22031-1849 |
| Practice Telephone | 7033520388 |
| Practice Fax Number | 7033524906 |
| Mailing Telephone | 7033520388 |
| Mailing Fax Number | 7033524906 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-08-02 |
| Authorized Official Name | MS. SILVA BEY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7033520388 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
9401 LEE HWY SUITE 406 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-1849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255380358 | Sharon C Sherling | Family Medicine | 9401 Lee Hwy, Suite 400, Fairfax, VA 22031-1849 | 2006-05-08 |
| 1467909036 | Privia Medical Group, LLC | Internal Medicine | 9401 Lee Hwy, Suite 400, Fairfax, VA 22031-1849 | 2016-09-01 |
| 1659509818 | Misty Adele Tax | Registered Nurse | 9401 Lee Hwy, Suite 400, Fairfax, VA 22031-1849 | 2009-06-26 |
| 1467644310 | Jasmine Moghissi, M.d., P.C. | Family Medicine | 9401 Lee Hwy, Suite 302, Fairfax, VA 22031-1849 | 2007-08-15 |
| 1063620128 | Laura Marie Toth | Kinesiotherapist | 9401 Lee Hwy, Suite 102, Fairfax, VA 22031-1849 | 2007-05-20 |
| 1194844092 | Dental Associates Ltd | Clinic/Center | 9401 Lee Hwy, Fairfax, VA 22031-1849 | 2007-03-29 |
| 1063548873 | Hanh-tien Dinh Tran | Physician Assistant | 9401 Lee Hwy, Suite 400, Fairfax, VA 22031-1849 | 2007-02-26 |
| 1023173200 | Carolyn Thompson Turpin | Nurse Practitioner | 9401 Lee Hwy, Suite 400, Fairfax, VA 22031-1849 | 2006-12-27 |
| 1619040961 | Sanford Montalto | Dentist | 9401 Lee Hwy, Suite 200, Fairfax, VA 22031-1849 | 2006-11-16 |
| 1306919634 | Danny Truvan | Dentist | 9401 Lee Hwy, Suite 200, Fairfax, VA 22031-1849 | 2006-11-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196339 | Jilly Healthcare Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4145 Lenox Dr, Fairfax, VA 22032-1112 | 2020-08-24 |
| 1790317105 | Zrahil Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10905 Fairchester Dr, Fairfax, VA 22030-4807 | 2020-02-04 |
| 1790321800 | Community Comfort Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3736 Richard Ave, Fairfax, VA 22031-3535 | 2019-11-24 |
| 1609410273 | Hands of Mercy Group Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12783 Cruz Ct, Fairfax, VA 22030-7283 | 2019-11-06 |
| 1114400157 | Divine Supports & Homes Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13005 Maepine Ct, Fairfax, VA 22033-3130 | 2018-09-14 |
| 1568965333 | William Henry Barnes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3112 Plantation Pkwy, Fairfax, VA 22030-2118 | 2018-03-17 |
| 1427400050 | Compassionate Care Group Homes, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4413 San Carlos Dr, Fairfax, VA 22030-5372 | 2016-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729213 | Saint Claire Healthcare | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5601 Seminary Rd Apt 915n, Falls Church, VA 22041-2997 | 2020-10-28 |
| 1780283275 | Great Day Residential | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6606 Gills Gate Pl, Chesterfield, VA 23832-6004 | 2020-10-26 |
| 1306451448 | Nikita S Banks | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 505 Cumberland Street Ave, Ste 2, Portsmouth, VA 23704-2370 | 2020-09-15 |
| 1396359576 | Best Hope Community Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9662 Hawkshead Dr, Lorton, VA 22079-2786 | 2020-09-03 |
| 1609489038 | Viana Healthcare Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8205 Mockingbird Dr, Annandale, VA 22003-3713 | 2020-08-25 |
| 1225640279 | Guardian Angels Homecare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1116 Pin Oak Drive, Suffolk, VA 23434-2343 | 2020-08-20 |
| 1659993079 | Collaborative Community LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6000 Filbert Ct, Springfield, VA 22152-1609 | 2020-05-07 |
| 1356962252 | Intellectual Services Group, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4813 Integrity Ct, Fredericksburg, VA 22408-1891 | 2020-05-01 |
| 1699394346 | Peace of Mind Residential Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Pinehurst Ln, Stafford, VA 22554-7288 | 2020-04-13 |
| 1487282729 | Eye Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 721 Cabin Creek Dr, Hopewell, VA 23860-5350 | 2020-03-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.