Provider Demographics
NPI:1023865342
Name:CITRUS OPERATOR LLC
Entity type:Organization
Organization Name:CITRUS OPERATOR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:HESSAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARRABINIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-815-5800
Mailing Address - Street 1:8000 WESTPARK DR STE 650
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-3217
Mailing Address - Country:US
Mailing Address - Phone:703-815-5800
Mailing Address - Fax:
Practice Address - Street 1:2341 W NORVELL BRYANT HWY
Practice Address - Street 2:
Practice Address - City:LECANTO
Practice Address - State:FL
Practice Address - Zip Code:34461-9438
Practice Address - Country:US
Practice Address - Phone:352-746-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility