Care GSL Richmond Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALF1104427 Issued in VA

Legal business name

CARE GSL RICHMOND OPCO LLC

Doing business as

Greenfield Residences at Monument Avenue

Practice address

6312 Seven Corners Center #161
Falls Church, VA 22044

Phone

(703) 692-9125

Fax

(703) 237-5609

NPI assigned

Dec 1, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Mathew Peponis

Title

Ceo

Phone

(804) 257-7949

Specialties & licenses 1

Addresses

Other names 1

• Greenfield Residences at Monument Avenue Doing business as

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1790182160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N. ALLEN AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23220",
            "telephone_number": "804-257-7949",
            "fax_number": "804-257-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6312 SEVEN CORNERS CENTER #161",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "22044",
            "telephone_number": "703-692-9125",
            "fax_number": "703-237-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE GSL RICHMOND OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "PEPONIS",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-257-7949",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "VA",
            "license": "ALF1104427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenfield Residences at Monument Avenue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Falls Church, VA
• Providers in Falls Church, 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 Dec 1, 2014; 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.