SPRING OAK ASSISTED LIVING AT PETERSBURG
NPI 1912697210
Assisted Living Facility in Petersburg, VA

Active since May 10, 2023CLIA 49D2214043 · Waiver
550 FLANK RD, PETERSBURG, VA 23805(804) 861-6977 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Spring Oak Assisted Living At Petersburg NPPES

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

SPRING OAK ASSISTED LIVING AT PETERSBURG (NPI 1912697210) is a healthcare organization registered as an assisted living facility in Petersburg, Virginia and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through February 17, 2027, maintains a secondary practice location in Petersburg, and lists Jessica Olivier, Executive Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1912697210
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSPRING OAK ASSISTED LIVING AT PETERSBURG
Location Address550 FLANK RDPetersburg, VA 23805-9114
Mailing Address1514 Route 138Wall Township, NJ 07719-3789 · (732) 719-8125
Organization SubpartNo
Authorized OfficialJessica OlivierExecutive Administrative Assistant · (732) 719-8125
Enumeration DateMay 10, 2023
NPPES CertifiedMay 10, 2023
NPI 1912697210 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.
550 FLANK RD, Petersburg, VA 23805

Secondary Practice Location 1

Location 1590 Flank RdPetersburg, VA 23805-9114 · Phone (804) 861-6977

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2214043

Spring Oak Assisted Living - Petersburg · Petersburg, VA
Active · expires Feb 17, 2027
CLIA Number49D2214043
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 18, 2025
Certificate Expiration DateFebruary 17, 2027
Laboratory DirectorAmy J. Oakley
Laboratory Phone(804) 861-6977
Laboratory LocationSpring Oak Assisted Living - Petersburg590 Flank Rd, Petersburg, VA 23805
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Alzheimer Center (Dementia Center)
550 FLANK RD
PETERSBURG, VA 23805

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 Spring Oak Assisted Living At Petersburg's NPI number?

The NPI number for Spring Oak Assisted Living At Petersburg is 1912697210. It was assigned to this organization in the NPPES registry on May 10, 2023.

Where is Spring Oak Assisted Living At Petersburg located?

Spring Oak Assisted Living At Petersburg is located at 550 Flank Rd, Petersburg, VA 23805. The listed phone number is (804) 861-6977.

What is Spring Oak Assisted Living At Petersburg's specialty?

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

Does Spring Oak Assisted Living At Petersburg hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2214043) is associated with this NPI, valid through February 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Spring Oak Assisted Living At Petersburg was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.