Southern Ave Sp LLC
NPI 1306433644 · Assisted Living Facility · Washington DC, DC
Southern Ave Sp LLC is a Assisted Living Facility organization in Washington DC, DC (NPI 1306433644).
Provider details
- NPI number
- 1306433644
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Ryan Person, Director of Business Development(260) 413-4159
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Livingston Place
- Doing business as
- Livingston Place at Southern Avenue
Registry dates
- Enumerated
- 2020-12-21
- Last updated
- 2021-01-26
- Certified
- 2021-01-26
Frequently asked questions
- What is Southern Ave Sp LLC's NPI number?
- Southern Ave Sp LLC's National Provider Identifier (NPI) is 1306433644, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Ave Sp LLC?
- Southern Ave Sp LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Southern Ave Sp LLC located?
- Southern Ave Sp LLC's practice location on file with NPPES is 4656 Livingston Rd. Se, Washington DC, DC 20032.
- What is Southern Ave Sp LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Ave Sp LLC is (260) 755-2292.
- Who is the authorized official for Southern Ave Sp LLC?
- The authorized official listed on Southern Ave Sp LLC's NPPES record is Ryan Person, Director of Business Development. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Ave Sp LLC's NPI active?
- Yes — Southern Ave Sp LLC's NPI (1306433644) is active in the NPPES registry as of the last update on 2021-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.