Al Kingsport Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ACL0000000121 Issued in TN

Legal business name

AL KINGSPORT OPERATIONS, LLC

Doing business as

Elmcroft of Kingsport

Practice address

9510 Ormsby Station Rd
Suite 101
Louisville, KY 40223-4081

Phone

(502) 753-6000

NPI assigned

Aug 1, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Robin Leigh Barber, JD

Title

Vice President

Phone

(502) 753-6004

Specialties & licenses 1

Addresses

Other names 1

• Elmcroft of Kingsport Doing business as

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1366874323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD",
            "address_2": "SUITE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234081",
            "telephone_number": "502-753-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD",
            "address_2": "SUITE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234081",
            "telephone_number": "502-753-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AL KINGSPORT OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "502-753-6004",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TN",
            "license": "ACL0000000121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmcroft of Kingsport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mohammad Al Azzawi
• Ahmed Al Ghaithi
• Misbah Al Hanbali, MD
• Ahmed Al Harbi, MD
• Ammar Al Jajeh
• Hussain Mustafa Juma Al Lawati, MD
• Moutaz Al Nabhan, MD
• Sultan Al Omairi, MD
• Abdulrahman Al Rawi
• Ahmed Al Wahaibi, MD

• Assisted Living Facility in Louisville, KY
• Providers in Louisville, KY by specialty
• Assisted Living Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.