Grayson Assisted Living Facility

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

507554 Issued in WV

Legal business name

GRAYSON ASSISTED LIVING FACILITY

Practice address

25 Old TRL
3455 St RT 75
Huntington, WV 25704-9281

Phone

(304) 972-0815

Fax

(304) 972-0814

NPI assigned

Oct 10, 2011

Organization subpart

No

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

Authorized official

Name

Kevin Dwayne Grayson

Title

Vice President

Phone

(304) 417-4969

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1790069656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 OLD TRAIL",
            "address_2": "3455 ST RT 75",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25704",
            "telephone_number": "304-972-0815",
            "fax_number": "304-972-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 OLD TRL",
            "address_2": "3455 ST RT 75",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257049281",
            "telephone_number": "304-972-0815",
            "fax_number": "304-972-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYSON ASSISTED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "GRAYSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "DWAYNE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "304-417-4969"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WV",
            "license": "507554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Nicole Gray
• Megan Nicole Gray I, CCC-SLP
• Tareka Masha Gray
• Tiffanny Octavia Gray
• Alexander Graybeal
• Grayson Dialysis and Kidney Center
• Marie D Graziani, AUD CCCA
• Adain Green
• Catrina Green
• Chavon Green

• Assisted Living Facility in Huntington, WV
• Providers in Huntington, WV by specialty
• Assisted Living Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.