Grandview Villa Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-014-015 Issued in NC

Legal business name

GRANDVIEW VILLA ASSISTED LIVING LLC

Practice address

2544 Grandview Cir SW
Lenoir, NC 28645-9638

Phone

(828) 757-0136

Fax

(828) 757-0213

NPI assigned

Jan 11, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lillie Jeanette Hartley

Title

Member-Manager

Phone

(828) 757-0136

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174673933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2544 GRANDVIEW CIR SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286459638",
            "telephone_number": "828-757-0136",
            "fax_number": "828-757-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2544 GRANDVIEW CIR SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286459638",
            "telephone_number": "828-757-0136",
            "fax_number": "828-757-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDVIEW VILLA ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARTLEY",
        "authorized_official_first_name": "LILLIE",
        "authorized_official_middle_name": "JEANETTE",
        "authorized_official_title_or_position": "MEMBER-MANAGER",
        "authorized_official_telephone_number": "828-757-0136",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-014-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805628",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Drakeford Gorman, FNP
• William Michael Goudelock, LPC LCAS
• George Alan Gould, M.D.
• Heather Teanne Gragg, NP
• Patience Haven Gragg, LCSWA
• Brenda Gail Gray, COTA/L
• Neal David Gray, LPC
• Gray's Angels LLC (Visiting Angels)
• Graystone Ophthalmology Associates, P.a. (Graystone Eye)
• Heather Greene

• Assisted Living Facility in Lenoir, NC
• Providers in Lenoir, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.