Johnson Senior Center Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

R006179 Issued in VA

Legal business name

JOHNSON SENIOR CENTER INC

Practice address

108 Senior Street
BLDG I
Amherst, VA 24521-0989

Phone

(434) 946-2770

Fax

(434) 946-5081

NPI assigned

May 16, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James Michael Dolan

Title

Owner President Johnson Senior Cent

Phone

(434) 946-2799

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558577205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 989",
            "city": "AMHERST",
            "state": "VA",
            "postal_code": "245210989",
            "telephone_number": "434-946-2799",
            "fax_number": "434-946-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SENIOR STREET",
            "address_2": "BLDG I",
            "city": "AMHERST",
            "state": "VA",
            "postal_code": "245210989",
            "telephone_number": "434-946-2770",
            "fax_number": "434-946-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON SENIOR CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOLAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER PRESIDENT JOHNSON SENIOR CENT",
        "authorized_official_telephone_number": "434-946-2799",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "VA",
            "license": "R006179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Nicole Harvey
• Lisa Doss Houchens, LCSW
• Dercilla Jackson
• Taylor Knight James, CPM
• Valerie Fay Jarboe, PA
• Jacob Jones
• Lakisha Jones
• Zachary Karnavas
• Susan Kaslo, M.S., C.C.C.-SLP
• Joshua S Kerr, PA-C

• Assisted Living Facility in Amherst, VA
• Providers in Amherst, VA by specialty
• Assisted Living Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.