Life Tree Adult Day Care – Adult Day Care Clinic/Center, NPI 1366267304

Life Tree Adult Day Care is a healthcare provider. based in Fairfax, Virginia. specializing in Adult Day Care Clinic/Center. The NPI Number for Life Tree Adult Day Care is 1366267304

Main info

Organization
Name
Life Tree Adult Day Care
NPI
1366267304
Phone
(434) 212-0460
Address
11240 WAPLES MILL RD STE 201
Authorized Official
KYONG HOON KO PRESIDENT PMP
Enumeration Date
15 November 2024
Last Update Date
15 November 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness80
Years active:1State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Life Tree Adult Day Care

  • 11240 WAPLES MILL RD STE 201

    FAIRFAX, VA 220306078

    Phone: (434) 212-0460

    Fax: (703) 570-7668

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22030)

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Reviews

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Frequently asked questions

What unique ID ties claims to Life Tree Adult Day Care?
NPI 1366267304 is assigned to Life Tree Adult Day Care under the national enumeration system.
Is Life Tree Adult Day Care's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is Life Tree Adult Day Care?
The page reflects Adult Day Care Clinic/Center for Life Tree Adult Day Care. Clinical services aligned with this taxonomy classification.
Where is Life Tree Adult Day Care's primary listing?
We display Fairfax, Virginia because that is what the record indicates for Life Tree Adult Day Care.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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