Organization Active NPI

Livewell at Grand Court Lakes LLC

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1174037469
Registry record updated Nov 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LIVEWELL AT GRAND COURT LAKES LLC
Practice address
280 Sierra Dr
Miami, FL 33179-3894
Phone
(305) 654-5300
NPI assigned
Nov 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2017

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

Authorized official

Name
Yanir Shmaryou
Title
Owner
Phone
(305) 987-7920

Specialties & licenses 1

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

Addresses

Primary practice location

280 Sierra Dr
Miami, FL 33179-3894

Mailing address

280 Sierra Dr
Miami, FL 33179-3894
Phone (305) 654-5300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511308800000",
    "number": "1174037469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 SIERRA DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793894",
            "telephone_number": "305-654-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 SIERRA DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793894",
            "telephone_number": "305-654-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVEWELL AT GRAND COURT LAKES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-22",
        "last_updated": "2017-11-22",
        "status": "A",
        "authorized_official_last_name": "SHMARYOU",
        "authorized_official_first_name": "YANIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-987-7920"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; 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.