Gregory'S Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GREGORY'S ASSISTED LIVING

Practice address

29255 Walker Lane
29271 Walker Lane
Meadowview, VA 24361

Phone

(386) 793-5155

Fax

(276) 695-9047

NPI assigned

Jul 12, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kristen Gregory, MHA, RMA

Title

Assistant Administrator

Phone

(386) 793-5155

Specialties & licenses 2

Addresses

Other identifiers 4

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1003595513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "address_2": "29255 WALKER LANE",
            "city": "MEADOWVIEW",
            "state": "VA",
            "postal_code": "24361",
            "telephone_number": "276-944-5350",
            "fax_number": "276-695-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29255 WALKER LANE",
            "address_2": "29271 WALKER LANE",
            "city": "MEADOWVIEW",
            "state": "VA",
            "postal_code": "24361",
            "telephone_number": "386-793-5155",
            "fax_number": "276-695-9047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Solar St",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "VA",
            "postal_code": "242014141",
            "country_code": "US",
            "telephone_number": "386-793-5155",
            "fax_number": "276-695-9047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 Greystone Dr",
            "address_purpose": "LOCATION",
            "city": "Castlewood",
            "state": "VA",
            "postal_code": "24224",
            "country_code": "US",
            "telephone_number": "276-762-7929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREGORY'S ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "386-793-5155",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHA, RMA"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508026352",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "VA-1706-001300",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VA-1706-001300",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING, MEDICATION AID",
            "identifier": "1706-001300",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.gregorysresthome.com",
            "affiliation": "N",
            "endpointDescription": "company website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "29255 walker lane",
            "address_2": "29271 walker lane",
            "city": "Meadowview",
            "state": "VA",
            "country_code": "US",
            "postal_code": "24361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Janet Brooke Cuddy, FNP
• Caitlin Davis
• Cassandra Brooke Ellison, FNP-BC
• Jessica Nicole Evans, DO
• Gayle Ann Findley, FNP
• Chelsey Hagy, RN
• Michael Kleinot, PH.D.
• Sharon Kiser Lynch, M.S., CCC-SLP
• Vicente Ortiz, M.D.
• Cameron Pease

• All providers in Meadowview, VA
• Assisted Living Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.