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GRAND PALMS ALF OPERATOR LLC NPI 1093146938


NPI Information

NPI: 1093146938
Provider Name: GRAND PALMS ALF OPERATOR LLC

Doing Business As: GRAND PALMS ASSISTED LIVING & MEMORY CARE COMMUNITY

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 10D2203841

Address:
600 N ECONLOCKHATCHEE TRL
ORLANDO, FL
ZIP 32825
Phone: (407) 529-1000
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GRAND PALMS ALF OPERATOR LLC is an assisted living facility in Orlando, FL. The provider is 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. GRAND PALMS ALF OPERATOR LLC NPI is 1093146938. The provider is registered as an organization entity type.
The provider Is Doing Business As Grand Palms Assisted Living & Memory Care Community.

The provider's business location address is:

600 N ECONLOCKHATCHEE TRL
ORLANDO, FL
ZIP 32825-402
Phone: (407) 529-1000

The provider's authorized official is Morris H. Miller .
The authorized official title is President and has the following contact phone number (941) 365-3376.

The CLIA number assigned to this NPI record is 10D2203841 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/3/2013 and was last updated on 12/3/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityFLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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