Greenwich Investors Cedar Grove Operator LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GREENWICH INVESTORS CEDAR GROVE OPERATOR LLC

Doing business as

Cedar Grove Assisted Living

Practice address

110 Nicolette Rd
Parkersburg, WV 26104-7241

Phone

(304) 424-6023

Fax

(304) 424-6030

NPI assigned

Jul 13, 2018

Organization subpart

No

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

Authorized official

Name

Greg Echols

Title

Co-President of Management Agent

Phone

(779) 216-5849

Specialties & licenses 1

Addresses

Other names 1

• Cedar Grove Assisted Living Doing business as

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1073099073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E COURT ST STE 400",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013848",
            "telephone_number": "815-935-1992",
            "fax_number": "815-935-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NICOLETTE RD",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261047241",
            "telephone_number": "304-424-6023",
            "fax_number": "304-424-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWICH INVESTORS CEDAR GROVE OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-13",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "ECHOLS",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CO-PRESIDENT OF MANAGEMENT AGENT",
        "authorized_official_telephone_number": "779-216-5849"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Grove Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Green
• Randall Green
• Jennifer Anne Greene
• Leah Marie Greene
• Sarah Greenlee
• Ann K Greer, PT
• Megan Greer
• William James Greer, PT
• Adreama Christine Gregg, LPN
• Blair N Gregg

• Assisted Living Facility in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Assisted Living Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.