MEDICARE: EMILIA ASSISTED LIVING INC.,

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	174200000X	Meals Provider
2	3747P1801X	Personal Care Attendant
3	385H00000X	Respite Care
4	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1477419323
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMILIA ASSISTED LIVING INC.,

Provider Business Mailing Address
First Line	:	5501 BROOKLAND RD
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22310-1806
Country	:	US
Telephone Number	:	571-397-9648
Fax Number	:	703-634-5773

Provider Business Practice Location Address
First Line	:	5501 BROOKLAND RD
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22310-1806
Country	:	US
Telephone Number	:	703-971-5205
Fax Number	:	703-634-5773

Authorized Official
Title or Position	:	CEO
Name	:	EMILIA M ZOLETA
Credential	:
Telephone Number	:	571-243-9401

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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