GV BOYNTON BEACH, LLC (NPI# 1952775926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952775926 |
Entity Type | Organization |
Organization Name | GV BOYNTON BEACH, LLC |
Other Organization Name | GRAND VILLA OF BOYNTON BEACH |
Practice Address |
13770 58th St N Suite 312 Clearwater FL 33760-3759 |
Mailing Address |
1935 S Federal Hwy Boynton Beach FL 33435-6967 |
Practice Telephone | 7277263980 |
Enumeration Date | 2015-11-13 |
Last Update Date | 2015-11-13 |
Authorized Official Name | MR. DENNIS FORTE (AUTHORIZED AGENT) |
Authorized Official Telephone | 7277263980 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | AL8186 | FL | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Grand Villa of Boynton Beach | Doing Business As Name - Organization |
Street Address |
13770 58TH ST N SUITE 312 |
City | CLEARWATER |
State | FL |
Zip Code | 33760-3759 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962625624 | Kimiko Takezawa | Pathology | 13770 58th St N, Suite 309, Clearwater, FL 33760-3759 | 2007-04-11 |
1497120877 | Gv Englewood, LLC | Assisted Living Facility | 13770 58th St N, Suite 312, Clearwater, FL 33760-3759 | 2015-12-10 |
1457754558 | Gv St. Pete, LLC | Assisted Living Facility | 13770 58th St N, Suite 312, Clearwater, FL 33760-3759 | 2014-10-02 |
1275729733 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 13770 58th St N, Clearwater, FL 33760-3759 | 2007-09-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053813444 | Enver Ruzdija Arnp LLC | Clinic/Center | 14690 Sugar Cane Way, Clearwater, FL 33760 | 2018-03-01 |
1528577087 | Csi-pediatric Services, Inc | Clinic/Center | 5291 110th Ave, Clearwater, FL 33760 | 2017-09-27 |
1457877094 | Healthcare Alliance LLC | In Home Supportive Care | 13575 58 St N, Ste 178, Clearwater, FL 33760 | 2017-08-15 |
1497208805 | 211 Tampa Bay Cares, Inc. | Voluntary or Charitable | 14155 58th Street North, Suite 211, Clearwater, FL 33760 | 2016-08-02 |
1760885503 | Amanda Pawlik | Physical Therapist | 13830 58th St. N., Suite 409, Clearwater, FL 33760 | 2014-10-08 |
1871842252 | Christine Lynne Felix | Radiology | 2028 Arbor Drive, Clearwater, FL 33760 | 2012-08-31 |
1194072017 | Anna Mccord | Speech-Language Pathologist | 13575 58th Street North, Clearwater, FL 33760 | 2012-08-09 |
1245460195 | Patricia Kathrine Clay | Occupational Therapist | 4902 Creekside Dr Ste A, Clearwater, FL 33760 | 2009-07-24 |
1346447992 | Tms Management Group, Inc. | Transportation Broker | 16331 Bay Vista Dr, Clearwater, FL 33760 | 2007-06-28 |
1730266461 | Joan Marie Jannino | Social Worker | 2188 58th St. N., Clearwater, FL 33760 | 2006-11-01 |
Find all providers in zip 33760 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
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. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073156279 | Lots Care Company Inc | Assisted Living Facility | 202 Cove Ct, Clearwater, FL 33756-1728 | 2019-10-21 |
1538626064 | Gv Clearwater, LLC | Assisted Living Facility | 2750 Drew St, Clearwater, FL 33759-3034 | 2019-02-20 |
1770002651 | American Advanced Senior Care LLC | Assisted Living Facility | 2298 Bellaire Road, Clearwater, FL 33764 | 2017-09-12 |
1013313246 | Sunset Villa Retirement Home | Assisted Living Facility | 2308 Americus Dr, Clearwater, FL 33763-4503 | 2014-11-17 |
1023411246 | Heritage House Retirement Home | Assisted Living Facility | 1810 S Belcher Rd, Clearwater, FL 33764-6602 | 2014-10-01 |
1316352172 | Fi-highland Pines LLC | Assisted Living Facility | 1520 Jeffords St, Clearwater, FL 33756-4449 | 2014-06-30 |
1710302526 | Pinnacle Health Facilities Xxxii Lp | Assisted Living Facility | 440 N 4th St, Clearwater, KS 67026-9708 | 2014-03-03 |
1295159903 | Hillside Gardens Inc | Assisted Living Facility | 3434 Zara Way, Clearwater, FL 33761-1225 | 2014-02-17 |
1245654706 | Smith Health Care Properties - Clearwater | Assisted Living Facility | 2057 Edgewater Dr, Clearwater, FL 33755-1028 | 2014-02-04 |
1134550718 | Lovely Care Manor LLC | Assisted Living Facility | 2869 Sarah Dr, Clearwater, FL 33759-2010 | 2013-12-06 |
Find all providers in CLEARWATER |
City | CLEARWATER |
Zip Code | 33760 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.