La Grande Belle Estates

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11123 Issued in FL

Legal business name

LA GRANDE BELLE ESTATES

Practice address

5898 Orchard Pond Rd
Tallahassee, FL 32303-8200

Phone

(786) 200-8897

NPI assigned

Jan 13, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Tavaris Spradley

Title

MGR

Phone

(786) 200-8897

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1124323670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10031 PINES BLVD STE 226",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246180",
            "telephone_number": "786-200-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5898 ORCHARD POND RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323038200",
            "telephone_number": "786-200-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA GRANDE BELLE ESTATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "SPRADLEY",
        "authorized_official_first_name": "TAVARIS",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "786-200-8897",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000509700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kit D Kuss, MD
• Johana Kutrolli, DDS
• Angelina Alexeevna Kuzina, MD
• Jodi L'Heureux, FNP
• La Grand Belle Estates
• Laboratory Corporation of America
• Laboratory Corporation of America
• Bethany Lacey, MSW
• Erin Lackinger, M.ED.
• Lafayette Chiropractic Clinic PA

• Assisted Living Facility in Tallahassee, FL
• Providers in Tallahassee, 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 Jan 13, 2011; 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.