Huntsville Senior Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

D4520 Issued in AL

Legal business name

HUNTSVILLE SENIOR LIVING LLC

Practice address

10310 Bailey Cove Rd SE
Huntsville, AL 35803-2657

Phone

(256) 880-1515

Fax

(503) 485-1279

NPI assigned

Apr 22, 2007

Organization subpart

No

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

Authorized official

Name

Jon M Harder

Title

Manager

Phone

(503) 375-9016

Specialties & licenses 1

Addresses

Other names 1

• Weatherly Springs Assisted Living Community Doing business as

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1487872065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3006",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973020006",
            "telephone_number": "503-375-9016",
            "fax_number": "503-485-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10310 BAILEY COVE RD SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358032657",
            "telephone_number": "256-880-1515",
            "fax_number": "503-485-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTSVILLE SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-22",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "HARDER",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-375-9016"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AL",
            "license": "D4520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weatherly Springs Assisted Living Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Assisted Living Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.