Morningside House of Leesburg

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FLO-1097320-L155 Issued in VA

Legal business name

MORNINGSIDE HOUSE OF LEESBURG

Practice address

316 Harrison St SE
Leesburg, VA 20175-3719

Phone

(703) 777-2777

NPI assigned

Feb 24, 2012

Last updated

Feb 24, 2012By 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

Kelly Mason

Title

President and Ceo

Phone

(703) 669-1804

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1770857500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 HARRISON ST SE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753719",
            "telephone_number": "703-777-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 HARRISON ST SE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753719",
            "telephone_number": "703-777-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNINGSIDE HOUSE OF LEESBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "703-669-1804"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "VA",
            "license": "FLO-1097320-L155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joni Moos, RN
• Ivelisse Morales-Rios
• Roberta Maureen Moreland, MD
• Stefanie Moreno, LCSW
• John Irvin Morgan IV, MD
• Lauren Wells Morris, RN, CLC
• Amanda Morrow Badar, LPC
• Casey Lynette Morrow, ARNP, CNM
• Ali Moshirfar, M.D.
• Tara Fregin Moss, L.C.S.W.

• Assisted Living Facility in Leesburg, VA
• Providers in Leesburg, 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 Feb 24, 2012; 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.

Verify at the official NPI Registry.