Organization Active NPI

Valley Assisted Living

  • Assisted Living Facility
  • Luray, VA
National Provider Identifier
1053402115
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
1081202 Issued in VA
Legal business name
VALLEY ASSISTED LIVING
Practice address
122 N Hawksbill St
Luray, VA 22835-1126
Phone
(540) 743-6229
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Brian B Phelps
Title
Vice-President
Phone
(540) 843-3280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 1081202 VA Primary

Addresses

Primary practice location

122 N Hawksbill St
Luray, VA 22835-1126

Mailing address

122 N Hawksbill St
Luray, VA 22835-1126
Phone (540) 743-6229

Other names 1

  • Hawksbill Assisted Living Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2214031Valley Assisted Living122 North Hawksbill Street, Luray, VA 22835Certificate of waiverFeb 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
Hawksbill Assisted Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

122 N Hawksbill St
Luray, VA 22835
Phone (540) 743-6229

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053402115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N HAWKSBILL ST",
            "city": "LURAY",
            "state": "VA",
            "postal_code": "228351126",
            "telephone_number": "540-743-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N HAWKSBILL ST",
            "city": "LURAY",
            "state": "VA",
            "postal_code": "228351126",
            "telephone_number": "540-743-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "540-843-3280"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "VA",
            "license": "1081202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawksbill Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Luray, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.