LIVINGSTON PLACE
NPI 1306433644
Assisted Living Facility in Washington Dc, DC

Q: What is Southern Ave Sp LLC's NPI number?

The NPI number for Southern Ave Sp LLC is 1306433644. It was assigned to this organization in the NPPES registry on December 21, 2020. The provider is doing business as Livingston Place and Livingston Place at Southern Avenue.

Q: What is Southern Ave Sp LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since December 21, 2020

4656 LIVINGSTON RD. SE, WASHINGTON DC, DC 20032(260) 755-2292 Get Directions Write a Review

NPPES record last updated: January 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 26, 2021, Dec 21, 2020 (2 updates tracked since 2020).

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About Livingston Place NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIVINGSTON PLACE (NPI 1306433644) is a healthcare organization registered as an assisted living facility in Washington Dc, District Of Columbia and active in the NPI registry since December 2020. The organization lists Ryan Person, Director Of Business Development, as its authorized official.

NPPES Registry Identity

NPI1306433644

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameSOUTHERN AVE SP LLC

Location Address4656 LIVINGSTON RD. SEWashington Dc, DC 20032

Mailing Address3630 Illinois RdFort Wayne, IN 46804-2062

Phone(260) 755-2292

Organization SubpartNo

Authorized OfficialRyan PersonDirector Of Business Development · (260) 413-4159

Enumeration DateDecember 21, 2020

Last NPPES UpdateJanuary 26, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2021

✔ NPI 1306433644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

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.

4656 LIVINGSTON RD. SE, Washington Dc, DC 20032

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Other Names 2

Doing Business AsLivingston Place

Doing Business AsLivingston Place At Southern Avenue

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Ave Sp LLC's NPI number?

The NPI number for Southern Ave Sp LLC is 1306433644. It was assigned to this organization in the NPPES registry on December 21, 2020. The provider is doing business as Livingston Place and Livingston Place at Southern Avenue.

Where is Southern Ave Sp LLC located?

Southern Ave Sp LLC is located at 4656 Livingston Rd. SE, Washington Dc, DC 20032. The listed phone number is (260) 755-2292.

What is Southern Ave Sp LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Southern Ave Sp LLC was last updated on January 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.