Organization Active NPI

Alta Living Care

  • Home Health Agency
  • Staunton, VA
National Provider Identifier
1609687615
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ALTA LIVING CARE
Practice address
110 W Johnson St Ste 235
Staunton, VA 24401-4245
Phone
(480) 205-3051
NPI assigned
Jan 17, 2025
Last updated
Jan 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Authorized official

Name
Nathan Carroll
Title
Ceo
Phone
(480) 205-3051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

110 W Johnson St Ste 235
Staunton, VA 24401-4245

Mailing address

110 W Johnson St Ste 235
Staunton, VA 24401-4245
Phone (480) 205-3051

Other names 1

  • Crowned Caregivers Other name

National Provider Directory

National Provider Directory

Locations

110 W Johnson St
Ste 235
Staunton, VA 24401
Phone (480) 205-3051

NPI Registry JSON

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1609687615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W JOHNSON ST STE 235",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244014245",
            "telephone_number": "480-205-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W JOHNSON ST STE 235",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244014245",
            "telephone_number": "480-205-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA LIVING CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-205-3051"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crowned Caregivers",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Staunton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.