Provider Demographics
NPI:1821432493
Name:INOVA HEALTH SYSTEM SERVICES
Entity Type:Organization
Organization Name:INOVA HEALTH SYSTEM SERVICES
Other - Org Name:SUNRISE AT MOUNT VERNON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SORAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-780-9800
Mailing Address - Street 1:8033 HOLLAND RD
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22306-3133
Mailing Address - Country:US
Mailing Address - Phone:703-780-9800
Mailing Address - Fax:703-780-9858
Practice Address - Street 1:8033 HOLLAND RD
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306-3133
Practice Address - Country:US
Practice Address - Phone:703-780-9800
Practice Address - Fax:703-780-9858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-25
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAALF 1095319-L152310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility