Boulevard Operator LLC
NPI 1912791872ActiveOrganization· Skilled Nursing Facility· Fairfax, VA
Skilled Nursing Facility in Fairfax, Virginia, registered in NPPES in April 2025. The authorized official on file is Mindee Posen, Medicare Administration Officer. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1912791872 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 7, 2025 |
| Last updated in NPPES | Jan 29, 2026 |
| Certified by provider | Jan 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (VA) |
|---|
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