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Fairfax Nursing Center, Inc

NPI 1386636116ActiveOrganization· Skilled Nursing Facility· Fairfax, VA

Skilled Nursing Facility in Fairfax, Virginia, registered in NPPES in August 2005. The authorized official on file is Renee Bainum Carlson, Executive Administrator.

Overview

NPI1386636116
StatusActive
Entity typeOrganization
NPI issuedAug 18, 2005
Last updated in NPPESAug 7, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000XNH2552VA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Skilled Nursing Facility providers in Fairfax

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