NPIMap

Organization Active NPI

Guardian Assisted Living

  • Adult Care Home Facility
  • Castlewood, VA
National Provider Identifier
1316178940
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
ALF1104133 Issued in VA
Legal business name
GUARDIAN ASSISTED LIVING
Practice address
99 Culbertson Lane
Castlewood, VA 24224
Phone
(276) 794-9569
Fax
(276) 794-9403
NPI assigned
Jul 30, 2009
Last updated
Jul 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

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

Authorized official

Name
Mrs. Betty Jean Beutler
Title
Administrator
Phone
(276) 794-9569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X ALF1104133 VA Primary

Addresses

Primary practice location

99 Culbertson Lane
Castlewood, VA 24224

Mailing address

99 Culbertson Lane
Castlewood, VA 24224
Phone (276) 794-9569

Other names 1

  • Operated by: T R Assisted Living Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1316178940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 CULBERTSON LANE",
            "city": "CASTLEWOOD",
            "state": "VA",
            "postal_code": "24224",
            "telephone_number": "276-794-9569",
            "fax_number": "276-794-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 CULBERTSON LANE",
            "city": "CASTLEWOOD",
            "state": "VA",
            "postal_code": "24224",
            "telephone_number": "276-794-9569",
            "fax_number": "276-794-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-30",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "BEUTLER",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "276-794-9569",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "VA",
            "license": "ALF1104133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Operated by: T R Assisted Living",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Castlewood, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.