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GV BOYNTON BEACH LLC NPI 1952775926


NPI Information

NPI: 1952775926
Provider Name: GV BOYNTON BEACH, LLC

Doing Business As: GRAND VILLA OF BOYNTON BEACH

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

CLIA Number: 10D0928614

Address:
13770 58TH ST N
SUITE 312
CLEARWATER, FL
ZIP 33760
Phone: (727) 726-3980
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GV BOYNTON BEACH, LLC is an assisted living facility in Clearwater, 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 BOYNTON BEACH, LLC NPI is 1952775926. The provider is registered as an organization entity type.
The provider Is Doing Business As Grand Villa Of Boynton Beach.

The provider's business location address is:

13770 58TH ST N
SUITE 312
CLEARWATER, FL
ZIP 33760-759
Phone: (727) 726-3980

The provider's authorized official is Dennis Forte .
The authorized official title is Authorized Agent and has the following contact phone number (727) 726-3980.

The CLIA number assigned to this NPI record is 10D0928614 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/13/2015 and was last updated on 11/13/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityAL8186FLORIDAYes

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: 11/14/2023

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.