Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Ave SP LLC

Organization Assisted Living Facility · NPI 1306433644

Southern Ave SP LLC is an Assisted Living Facility in Washington DC, District of Columbia. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4656 Livingston Rd SE
Washington DC, DC 20032
Phone: (260) 755-2292
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1306433644
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Person — Director Of Business Development · (260) 413-4159
Other names Livingston Place; Livingston Place At Southern Avenue
NPI enumeratedDecember 21, 2020
Last updated in NPPESJanuary 26, 2021
Certification dateJanuary 26, 2021
Mailing address3630 Illinois Rd, Fort Wayne, IN 46804-2062

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