OrganizationActive
Life Tree Care Center Inc
NPI 1366267304 · Adult Day Care Clinic/Center · Fairfax, VA
Provider details
- NPI number
- 1366267304
- Entity type
- Organization
- Primary specialty
- Adult Day Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kyong Ko, President(434) 212-0460
Specialties & taxonomies
Ambulatory Health Care Facilities
- Home Health Registered Nurse163WH0200X
Nursing Service Providers
- Community Based Hospice Care Agency251G00000X
Agencies
- Nursing Care Agency251J00000X
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
- Rehabilitation Clinic/Center261QR0400X
Ambulatory Health Care Facilities
- Urgent Care Clinic/Center261QU0200X
Ambulatory Health Care Facilities
Practice location
11240 Waples Mill Rd Ste 201
Fairfax, VA 22030-6078
Phone: (434) 212-0460
Fax: (703) 570-7668
Approximate (ZIP-level) locationGet directions
Mailing address
11240 Waples Mill Rd Ste 201
Fairfax, VA 22030-6078
Other names (DBA / former)
- Doing business as
- Life Tree Adult Day Care
- Doing business as
- Life Tree Assisted Living
- Doing business as
- Life Tree Home Care
- Doing business as
- Life Tree Nursing Home & Rehabilitation
- Doing business as
- Life Tree Palliative Care
- Doing business as
- Life Tree Urgent Care
- Doing business as
- Life Tree Wellness Care
Registry dates
- Enumerated
- 2024-11-15
- Last updated
- 2024-11-15
- Certified
- 2024-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.