Provider Type Icon

GRAND OAKS OF JENSEN BEACH LLC NPI 1437565348


NPI Information

NPI: 1437565348
Provider Name: GRAND OAKS OF JENSEN BEACH, LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 10D2080996

Address:
125 NW JENSEN BEACH BLVD
JENSEN BEACH, FL
ZIP 34957
Phone: (772) 286-1844
Get Directions

GRAND OAKS OF JENSEN BEACH, LLC is an assisted living facility in Jensen Beach, 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 OAKS OF JENSEN BEACH, LLC NPI is 1437565348. The provider is registered as an organization entity type.

The provider's business location address is:

125 NW JENSEN BEACH BLVD
JENSEN BEACH, FL
ZIP 34957-486
Phone: (772) 286-1844
Fax: (772) 286-8758

The provider's authorized official is Laurie H Allen .
The authorized official title is Alf Administrator and has the following contact phone number (772) 286-1844.

The CLIA number assigned to this NPI record is 10D2080996 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2014 and was last updated on 7/11/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.