Organization Active NPI

West Melbourne II Al Opco, LLC

Doing business as Trustwell Living at West Melbourne

  • Assisted Living Facility
  • West Melbourne, FL
National Provider Identifier
1104738111
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WEST MELBOURNE II AL OPCO, LLC
Doing business as
Trustwell Living at West Melbourne
Practice address
7300 Greenboro Dr
West Melbourne, FL 32904-1419
Phone
(321) 953-6464
Fax
(321) 953-5378
NPI assigned
Sep 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Authorized official

Name
Alida Cathleen Raynor, RN
Title
Clinical Compliance Nurse
Phone
(206) 501-6732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

7300 Greenboro Dr
West Melbourne, FL 32904-1419

Mailing address

600 3Rd Ave FL 21
New York, NY 10016-1916
Phone (332) 322-1990

Other names 1

  • Trustwell Living at West Melbourne Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1104738111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 3RD AVE FL 21",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161916",
            "telephone_number": "332-322-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 GREENBORO DR",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329041419",
            "telephone_number": "321-953-6464",
            "fax_number": "321-953-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MELBOURNE II AL OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "RAYNOR",
        "authorized_official_first_name": "ALIDA",
        "authorized_official_middle_name": "CATHLEEN",
        "authorized_official_title_or_position": "CLINICAL COMPLIANCE NURSE",
        "authorized_official_telephone_number": "206-501-6732",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trustwell Living at West Melbourne",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.