Keough Senior Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FLO-1104065-L153 Issued in VA

Legal business name

KEOUGH SENIOR LIVING LLC

Practice address

4308 Lees Corner Rd
Chantilly, VA 20151-2824

Phone

(703) 579-9972

Fax

(703) 817-1574

NPI assigned

Jul 20, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Francis Patrick Keough II, R.M.A.

Title

Ceo

Phone

(703) 579-9972

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1992018881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 LEES CORNER RD",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512824",
            "telephone_number": "703-579-9972",
            "fax_number": "703-817-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 LEES CORNER RD",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512824",
            "telephone_number": "703-579-9972",
            "fax_number": "703-817-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEOUGH SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "KEOUGH",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-579-9972",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "R.M.A."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "VA",
            "license": "FLO-1104065-L153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Keenan, RN
• Joshua Mark Kefer, PSY.D.
• Erin Elias Keller, RN
• Joann Caryl Kelly, PH,D.
• Kathleen Kelly, LCSW
• Sara Lucas Kepple, DO
• Kody S Kettle
• Key Life Home Care, LLC
• Rayan Tariq Khalid
• Kanwal S Khan, MD

• Assisted Living Facility in Chantilly, VA
• Providers in Chantilly, 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 Jul 20, 2010; 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.