Healthcare Provider Details

I. General information

NPI: 1164878609
Provider Name (Legal Business Name): RETIRE-IN-PLACE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2016
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14420 ALBEMARLE POINT PL STE 150
CHANTILLY VA
20151-1690
US

IV. Provider business mailing address

14420 ALBEMARLE POINT PL STE 150
CHANTILLY VA
20151-1690
US

V. Phone/Fax

Practice location:
  • Phone: 703-230-5555
  • Fax: 703-385-3855
Mailing address:
  • Phone: 703-662-7500
  • Fax: 703-661-6937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JOHNNY L WILKINSON
Title or Position: CEO
Credential:
Phone: 703-662-7500