Organization Active NPI

Grove Al, LLC

  • Assisted Living Facility
  • Richmond, VA
National Provider Identifier
1457590838
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
CLO-08-1104033 Issued in VA
Legal business name
GROVE AL, LLC
Practice address
3600 Grove Ave
Richmond, VA 23221-2202
Phone
(804) 353-3881
Fax
(828) 326-8115
NPI assigned
Feb 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Authorized official

Name
David Leo Johnson
Title
Director of Human Resources
Phone
(828) 261-7335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X CLO-08-1104033 VA Primary

Addresses

Primary practice location

3600 Grove Ave
Richmond, VA 23221-2202

Mailing address

PO Box 2568
Hickory, NC 28603-2568
Phone (828) 261-7335

Other names 1

  • Windsor Assisted Living and Memory Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1457590838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2568",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286032568",
            "telephone_number": "828-261-7335",
            "fax_number": "828-326-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 GROVE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232212202",
            "telephone_number": "804-353-3881",
            "fax_number": "828-326-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE AL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEO",
        "authorized_official_title_or_position": "DIRECTOR OF HUMAN RESOURCES",
        "authorized_official_telephone_number": "828-261-7335"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "VA",
            "license": "CLO-08-1104033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsor Assisted Living and Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.