SAVANNAH ASSISTED LIVING


Address: 8733 Lagrange St, Lorton, VA 22079-1630
Phone: 5713380418

SAVANNAH ASSISTED LIVING (NPI# 1023307451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023307451
Entity Type Organization
Organization Name SAVANNAH ASSISTED LIVING
Practice Address 8733 Lagrange St
Lorton
VA 22079-1630
Practice Telephone 5713380418
Mailing Telephone 5713380418
Enumeration Date 2011-04-06
Last Update Date 2011-04-06
Authorized Official Name MS. PATIMA JICHONAIA (MANAGER)
Authorized Official Telephone 5713380418
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility 1054841 VA Nursing & Custodial Care Facilities

Office Location

Street Address 8733 LAGRANGE ST
City LORTON
State VA
Zip Code 22079-1630

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1720339559 Jacqueline K Campbell Nurse Practitioner 8988 Lorton Market Street, # 100, Lorton, VA 22079 2012-09-19
1104176437 Tiffany L Johnson Occupational Therapy Assistant 8828 Western Hemlock Way, Lorton, VA 22079 2012-09-13
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1356668156 Turn of A Newleaf,inc Psychologist 9693 Hagel Circle, Lorton, VA 22079 2010-05-03
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

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1083238950 Hcp Falls Church Va Opco, LLC Assisted Living Facility 330 N Washington St, Falls Church, VA 22046-3431 2020-06-05
1316567761 Care Oasis Assisted Living Providers LLC Assisted Living Facility 21573 Green Spring Rd, Abingdon, VA 24211-5847 2020-04-25
1316566417 Eugene H. Bloom Retirement Center Assisted Living Facility 308 Weaver Ave, Emporia, VA 23847-1232 2020-04-09
1912533449 Ariel Safe Haven Assisted Living, LLC Assisted Living Facility 9607 Leavells Rd, Fredericksburg, VA 22407-4313 2020-03-16
1659935880 Silverlion Prince William Commons, LLC Assisted Living Facility 14080 Central Loop, Woodbridge, VA 22193-1438 2019-04-23
1306315627 Dawn Coker Assisted Living Facility 18321 Nob Hill Dr, Triangle, VA 22172-1303 2018-11-15
1508341231 Pamela Sonia Bynum-doles Assisted Living Facility 716 W 2nd Ave, Franklin, VA 23851-2102 2018-09-27
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Competitor

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City LORTON
Zip Code 22079

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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