Southern Ave Sp Llc
Assisted Living Facility
About Southern Ave Sp Llc
Southern Ave Sp Llc is a healthcare organization providing Assisted Living Facility services, registered under National Provider Identifier (NPI) number 1306433644. The authorized official for Southern Ave Sp Llc is RYAN PERSON.
The organization is headquartered at 4656 LIVINGSTON RD. SE, Washington Dc, District of Columbia 20032. The main office can be reached at (260) 755-2292. Southern Ave Sp Llc has been NPI-registered since 2020.
Locations & Contact
Primary Location
- Address
- 4656 LIVINGSTON RD. SE
- City
- Washington Dc
- State
- District of Columbia
- ZIP
- 20032
- Phone
- (260) 755-2292
Authorized Official
- Name
- RYAN PERSON
Mailing Address
- Address
- 3630 ILLINOIS RD
- City
- FORT WAYNE
- State
- IN
- ZIP
- 468042062
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Services & Taxonomy
Specialty & Classification
- Primary Specialty
- Assisted Living Facility
- Classification
- Assisted Living Facility
- Taxonomy Code
- 310400000X
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Southern Ave Sp Llc's NPI number?
What does Southern Ave Sp Llc specialize in?
Where is Southern Ave Sp Llc located?
Does Southern Ave Sp Llc accept Medicare?
Does Southern Ave Sp Llc offer telehealth or virtual visits?
What is a Type 2 NPI (Organization)?
A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Southern Ave Sp Llc holds NPI 1306433644, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.