Winter Garden Senior Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WINTER GARDEN SENIOR LIVING, LLC

Doing business as

Mission Grove at Stoneybrook

Practice address

12911 Stoneybrook W Pkwy
Winter Garden, FL 34787

Phone

(689) 312-9028

NPI assigned

Mar 20, 2025

Organization subpart

No

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

Authorized official

Name

Kris Peters

Title

Director of Business Office

Phone

(260) 452-4896

Specialties & licenses 1

Addresses

Other names 1

• Mission Grove at Stoneybrook Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1053112722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12411 N PENN ST STE 300",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460326138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 STONEYBROOK W PKWY",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "34787",
            "telephone_number": "689-312-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTER GARDEN SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OFFICE",
        "authorized_official_telephone_number": "260-452-4896"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Grove at Stoneybrook",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Winter Garden Health and Wellness, LLC
• Winter Garden Health Care Associates LLC
• Winter Garden Medical Massage
• Winter Garden Opco, LLC
• Winter Garden Rehab, LLC
• Winter Garden Smiles, PL
• Winter Garden Surgery Center, LLC
• Winter Garden Urgent Care, LLC
• Wodi Group Inc
• Hope Jennifer Wolmarans

• Assisted Living Facility in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.