Senior House Management

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ACL0000000239 Issued in TN

Legal business name

SENIOR HOUSE MANAGEMENT

Practice address

600 Strickland CT
Kingsport, TN 37660-0434

Phone

(423) 256-0002

Fax

(423) 357-4242

NPI assigned

Sep 15, 2011

Last updated

Sep 15, 2011By 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

Ms. Dava A Snyder, NHA

Title

Administrator

Phone

(423) 256-0002

Specialties & licenses 2

Addresses

Other names 1

• The Village at Allandale Former legal business name

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1699057604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 STRICKLAND CT",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376600434",
            "telephone_number": "423-256-0002",
            "fax_number": "423-357-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 STRICKLAND CT",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376600434",
            "telephone_number": "423-256-0002",
            "fax_number": "423-357-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR HOUSE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "DAVA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "423-256-0002",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TN",
            "license": "ACL0000000239",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "TN",
            "license": "ACL0000000239",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Village at Allandale",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ashley K Seaton, PA
• Seed of Hope Counseling, Inc.
• Tabitha Adams Sells, A-LPC
• Vickie Lee Sells
• Crystal Dawn Seluk, D.O.
• Serene Roots Wellness LLC
• David H Sewell, M. D.
• Brian David Shafer, D.O.
• Jennifer Gordon Shafer, D.O.
• Logan Alexander Shaffer, LPC-MHSP

• Assisted Living Facility in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Assisted Living Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.