Active NPI
Grove Al, LLC
- Assisted Living Facility
- Richmond, VA
National Provider Identifier
1457590838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- CLO-08-1104033
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.