Organization Active NPI

Martha Jefferson House

  • Assisted Living Facility
  • Charlottesville, VA
National Provider Identifier
1174645790
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
000744 Issued in VA
Legal business name
MARTHA JEFFERSON HOUSE
Practice address
1600 Gordon Ave
Charlottesville, VA 22903-1918
Phone
(434) 293-6136
Fax
(434) 295-0400
NPI assigned
Apr 4, 2007
Last updated
May 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Authorized official

Name
Heather Parrott, DHSC, LNHA, CCC-SLPNPI 1013258425
Title
Executive Director
Phone
(434) 293-6136

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 000744 VA Primary
Nursing Facility/Intermediate Care Facility 313M00000X NH2625 VA

Addresses

Primary practice location

1600 Gordon Ave
Charlottesville, VA 22903-1918

Mailing address

1600 Gordon Ave
Charlottesville, VA 22903-1918
Phone (434) 293-6136

National Provider Directory

National Provider Directory
Tax ID family
Martha Jefferson House2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1174645790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 GORDON AVE",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229031918",
            "telephone_number": "434-293-6136",
            "fax_number": "434-295-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 GORDON AVE",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229031918",
            "telephone_number": "434-293-6136",
            "fax_number": "434-295-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA JEFFERSON HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "PARROTT",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "434-293-6136",
        "authorized_official_credential": "DHSC, LNHA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "VA",
            "license": "000744",
            "primary": true
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "VA",
            "license": "NH2625",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.