NPIMap

Organization Active NPI

GV New Port Richey, LLC

Doing business as Grand Villa of New Port Richey

  • Assisted Living Facility
  • New Port Richey, FL
National Provider Identifier
1033664545
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL# 4832 Issued in FL
Legal business name
GV NEW PORT RICHEY, LLC
Doing business as
Grand Villa of New Port Richey
Practice address
6120 Congress St
New Port Richey, FL 34653-3909
Phone
(727) 848-3617
Fax
(727) 846-9288
NPI assigned
Aug 25, 2016
Last updated
Aug 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Johnny Sizemore
Title
Operations Coordinator
Phone
(727) 726-3980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL# 4832 FL Primary

Addresses

Primary practice location

6120 Congress St
New Port Richey, FL 34653-3909

Mailing address

13770 58TH St N
Suite 312
Clearwater, FL 33760-3759
Phone (727) 726-3980

Other names 1

  • Grand Villa of New Port Richey Doing business as

National Provider Directory

National Provider Directory
Tax ID family
GV Palm Coast LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1033664545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13770 58TH ST N",
            "address_2": "SUITE 312",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603759",
            "telephone_number": "727-726-3980",
            "fax_number": "727-726-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 CONGRESS ST",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346533909",
            "telephone_number": "727-848-3617",
            "fax_number": "727-846-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GV NEW PORT RICHEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "SIZEMORE",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "OPERATIONS COORDINATOR",
        "authorized_official_telephone_number": "727-726-3980"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL# 4832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Villa of New Port Richey",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.