Active NPI
Springfield Alf LLC
Doing business as Springfield Assisted Living
- Assisted Living Facility
- Springfield, OH
National Provider Identifier
1700242724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 1986R
- Legal business name
- SPRINGFIELD ALF LLC
- Doing business as
- Springfield Assisted Living
- Practice address
- 2981 Vester Ave
Springfield, OH 45503-1565 - Phone
- (937) 399-1216
- Fax
- (937) 399-7093
- NPI assigned
- Jan 6, 2016
- Last updated
- Jan 6, 2016
- 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
- Eamon Burgess
- Title
- President
- Phone
- (614) 440-4393
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 1986R | OH | Primary |
Addresses
Primary practice location
2981 Vester Ave
Springfield, OH 45503-1565
Mailing address
2981 Vester Ave
Springfield, OH 45503-1565
Phone (937) 399-1216
Other names 1
- Springfield Assisted Living
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2069289 | Springfield Assisted Living | Certificate of waiver | Nov 20, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452038400000",
"number": "1700242724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2981 VESTER AVE",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455031565",
"telephone_number": "937-399-1216",
"fax_number": "937-399-7093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2981 VESTER AVE",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455031565",
"telephone_number": "937-399-1216",
"fax_number": "937-399-7093"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPRINGFIELD ALF LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-06",
"last_updated": "2016-01-06",
"status": "A",
"authorized_official_last_name": "BURGESS",
"authorized_official_first_name": "EAMON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "614-440-4393"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "OH",
"license": "1986R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Springfield Assisted Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.