Savannah Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

1054841 Issued in VA

Legal business name

SAVANNAH ASSISTED LIVING

Practice address

8733 Lagrange St
Lorton, VA 22079-1630

Phone

(571) 338-0418

NPI assigned

Apr 6, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Patima Jichonaia

Title

Manager

Phone

(571) 338-0418

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1023307451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8733 LAGRANGE ST",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220791630",
            "telephone_number": "571-338-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8733 LAGRANGE ST",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220791630",
            "telephone_number": "571-338-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANNAH ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "JICHONAIA",
        "authorized_official_first_name": "PATIMA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "571-338-0418",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "VA",
            "license": "1054841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paola Andrea Salinas Andia
• Dania J Sallam, DPT, PT
• Alayna Salzler, DPT
• Nelson Fabricio Sanchez, BEHAVIOR TECHNICIAN
• Olena Sarles, RBT
• Kiranjyot Kaur Sawhney-Duran
• Gary L Scholl, D.C.
• Lloyd Scott
• Select Physical Therapy Holdings, Inc.
• Barbara Kerkoff Semple, P.T.

• Assisted Living Facility in Lorton, VA
• Providers in Lorton, VA by specialty
• Assisted Living Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.