GV DEERFIELD BEACH LLC NPI 1700239563

NPI Information

  • NPI: 1700239563
  • Provider Name: GV DEERFIELD BEACH, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: GRAND VILLA OF DEERFIELD BEACH
  • CLIA Number: 10D1044756
  • Address: 1050 SW 24TH AVE
    DEERFIELD BEACH, FL
    ZIP 33442
  • Phone: (954) 360-7667

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NPI Details

GV DEERFIELD BEACH, LLC is an assisted living facility in Deerfield 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. GV DEERFIELD BEACH, LLC NPI is 1700239563. The provider is registered as an organization entity type.
The provider Is Doing Business As Grand Villa Of Deerfield Beach.

The provider's business location address is:

1050 SW 24TH AVE
DEERFIELD BEACH, FL
ZIP 33442-601
Phone: (954) 360-7667
Fax: (954) 360-7363

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 10D1044756 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2016 and was last updated on 7/18/2016.

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
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessAL# 8697FLORIDANo
2310400000XAssisted Living FacilityAL# 8697FLORIDAYes

What is NPI?

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

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