Active NPI
Meridian Park Village Limited Partnership
- Assisted Living Facility
- Lantana, FL
National Provider Identifier
1114487154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- MERIDIAN PARK VILLAGE LIMITED PARTNERSHIP
- Practice address
- 2782 Donnelly Dr
Lantana, FL 33462-2515 - Phone
- (561) 966-4600
- NPI assigned
- Mar 25, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tomek J Koszylko
- Title
- Counsel
- Phone
- (312) 803-8443
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
2782 Donnelly Dr
Lantana, FL 33462-2515
Mailing address
233 S Wacker Dr Ste 8400
Chicago, IL 60606-6316
Phone (312) 803-8800
Other names 1
- Vi at Lakeside Village
National Provider Directory
National Provider Directory- Tax ID family
- Meridian Park Village Limited Partnership
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Lantana, FL
- NPI 1568423234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761264000000",
"number": "1114487154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 S WACKER DR STE 8400",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606066316",
"telephone_number": "312-803-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2782 DONNELLY DR",
"city": "LANTANA",
"state": "FL",
"postal_code": "334622515",
"telephone_number": "561-966-4600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERIDIAN PARK VILLAGE LIMITED PARTNERSHIP",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-25",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A",
"authorized_official_last_name": "KOSZYLKO",
"authorized_official_first_name": "TOMEK",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "COUNSEL",
"authorized_official_telephone_number": "312-803-8443"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vi at Lakeside Village",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lantana, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.