NPIMap

Organization Active NPI

Senior Living Choices, Inc

  • Physical Therapist
  • Midlothian, VA
National Provider Identifier
1093926594
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305002658 Issued in VA
Legal business name
SENIOR LIVING CHOICES, INC
Doing business as
Brandermill Woods Retirement Community
Practice address
2100 Brandermill Pkwy
Midlothian, VA 23112-4160
Phone
(804) 521-8272
Fax
(804) 744-4894
NPI assigned
May 25, 2007
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
Lynda Charmaine Preiss
Title
Director of Accounting
Phone
(804) 521-8272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2305002658 VA Primary

Addresses

Primary practice location

2100 Brandermill Pkwy
Midlothian, VA 23112-4160

Mailing address

14311 Brandermill Woods TRL
Midlothian, VA 23112-4124
Phone (804) 521-8272

Other identifiers 1

IdentifierTypeStateIssuer
197875OtherVABCBS PROVIDER NUMBER

Other names 1

  • Brandermill Woods Retirement Community Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brandermill Woods Retirement Community4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

14311 Brandermill Woods Trl
Midlothian, VA 23112
Phone (804) 621-7328

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093926594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14311 BRANDERMILL WOODS TRL",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124124",
            "telephone_number": "804-521-8272",
            "fax_number": "804-744-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 BRANDERMILL PKWY",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124160",
            "telephone_number": "804-521-8272",
            "fax_number": "804-744-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR LIVING CHOICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PREISS",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "CHARMAINE",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTING",
        "authorized_official_telephone_number": "804-521-8272"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305002658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "197875",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandermill Woods Retirement Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midlothian, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.