Healthcare Provider Details

I. General information

NPI: 1942873575
Provider Name (Legal Business Name): VIRGINIA HEALTH OPERATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2021
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8280 WILLOW OAKS CORPORATE DR STE 125
FAIRFAX VA
22031-4516
US

IV. Provider business mailing address

L- 4080
COLUMBUS OH
43260-4080
US

V. Phone/Fax

Practice location:
  • Phone: 714-202-5166
  • Fax: 866-273-8095
Mailing address:
  • Phone: 714-202-5166
  • Fax: 866-273-8095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: KEITH THOMPSON
Title or Position: CHIEF LEGAL & DEVELOPMENT OFFICER
Credential:
Phone: 949-432-4622