GREGORY'S ASSISTED LIVING NPI 1003595513

NPI Information

NPI: 1003595513
Provider Name: GREGORY'S ASSISTED LIVING
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
29255 WALKER LANE
29271 WALKER LANE
MEADOWVIEW, VA
ZIP 24361
Phone: (386) 793-5155
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GREGORY'S ASSISTED LIVING is an assisted living facility in Meadowview, VA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. GREGORY'S ASSISTED LIVING NPI is 1003595513. The provider is registered as an organization entity type.

The provider's business location address is:

29255 WALKER LANE
29271 WALKER LANE
MEADOWVIEW, VA
ZIP 24361
Phone: (386) 793-5155
Fax: (276) 695-9047

The provider's authorized official is Kristen Gregory .
The authorized official title is Assistant Administrator and has the following contact phone number (386) 793-5155.

The enumeration date for this NPI number is 7/12/2023 and was last updated on 8/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			No
2	310400000X	Assisted Living Facility				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1508026352	MEDICAID	VIRGINIA
2	VA-1706-001300	OTHER	VIRGINIA	STATE LICENSE
3	VA-1706-001300	MEDICAID	VIRGINIA
4	1706-001300	OTHER	VIRGINIA	BOARD OF NURSING, MEDICATION AID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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