GV LAKELAND LLC NPI 1457726838

NPI Information

  • NPI: 1457726838
  • Provider Name: GV LAKELAND, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: GRAND VILLA OF LAKELAND
  • CLIA Number: 10D2112580
  • Address: 2111 LAKELAND HILLS BLVD
    LAKELAND, FL
    ZIP 33805
  • Phone: (836) 688-1126

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NPI Details

GV LAKELAND, LLC is an assisted living facility in Lakeland, 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. GV LAKELAND, LLC NPI is 1457726838. The provider is registered as an organization entity type.
The provider Is Doing Business As Grand Villa Of Lakeland.

The provider's business location address is:

2111 LAKELAND HILLS BLVD
LAKELAND, FL
ZIP 33805-905
Phone: (836) 688-1126
Fax: (863) 683-3326

The provider's authorized official is Johnny Sizemore .
The authorized official title is Operations Coordinator and has the following contact phone number (727) 726-3980.

The CLIA number assigned to this NPI record is 10D2112580 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/10/2015 and was last updated on 12/10/2015.

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 FacilityAL 6107FLORIDAYes

What is NPI?

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This page was last updated on: 11/21/2025

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