Forever Living Assistant Care Home Corp.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALF1104506 Issued in VA

Legal business name

FOREVER LIVING ASSISTANT CARE HOME CORP.

Practice address

3701 Crestview Rd
Richmond, VA 23223-8107

Phone

(804) 412-5666

NPI assigned

Oct 12, 2015

Organization subpart

No

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

Authorized official

Name

Tryfene Scott

Title

Administrator

Phone

(804) 412-5666

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1710358148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3126 W CARY ST",
            "address_2": "417",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232213504",
            "telephone_number": "804-836-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 CRESTVIEW RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232238107",
            "telephone_number": "804-412-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER LIVING ASSISTANT CARE HOME CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "TRYFENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "804-412-5666"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "VA",
            "license": "ALF1104506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Christian Ford, MD
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• Casey Forman
• Jared Forman, SLP

• Assisted Living Facility in Richmond, VA
• Providers in Richmond, 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 Oct 12, 2015; 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.