Pram Mount Vernon Te LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALF 1104029-L152 Issued in VA

Legal business name

PRAM MOUNT VERNON TE LLC

Practice address

3709 Shannons Green Way
Alexandria, VA 22309-3659

Phone

(703) 780-7100

Fax

(703) 780-5771

NPI assigned

Nov 5, 2013

Organization subpart

No

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

Authorized official

Name

Tom Vellis

Title

Cfo

Phone

(732) 582-0400

Specialties & licenses 1

Addresses

Other names 1

• Spring Hills Mount Vernon Doing business as

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1306275805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 PLAINFIELD AVE",
            "address_2": "STE 200",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172598",
            "telephone_number": "732-582-0400",
            "fax_number": "908-378-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 SHANNONS GREEN WAY",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223093659",
            "telephone_number": "703-780-7100",
            "fax_number": "703-780-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAM MOUNT VERNON TE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "VELLIS",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "732-582-0400"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "VA",
            "license": "ALF 1104029-L152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Hills Mount Vernon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chantina Powers
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• Jennifer R Pratt, CERT MASTECTOMY FTR
• Wilfred Pratt

• Assisted Living Facility in Alexandria, VA
• Providers in Alexandria, 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 Nov 5, 2013; 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.