Active NPI
GV Lauderhill, LLC
Doing business as Grand Villa of Delray Beach East
- Assisted Living Facility
- Delray Beach, FL
National Provider Identifier
1174866511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL5113
- Legal business name
- GV LAUDERHILL, LLC
- Doing business as
- Grand Villa of Delray Beach East
- Practice address
- 14555 Sims Rd
Delray Beach, FL 33484-8547 - Phone
- (561) 496-1111
- Fax
- (561) 637-9990
- NPI assigned
- Apr 4, 2013
- 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
- Mr. Dennis Forte
- Title
- Manager
- Phone
- (727) 726-3980
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL5113 | FL | Primary |
| Alzheimer Center (Dementia Center) | 311500000X | AL5113 | FL |
Addresses
Primary practice location
14555 Sims Rd
Delray Beach, FL 33484-8547
Mailing address
13770 58TH St N
Suite 312
Clearwater, FL 33760-3759
Phone (727) 726-3980
Other names 1
- Grand Villa of Delray Beach East
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365033600000",
"number": "1174866511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13770 58TH ST N",
"address_2": "SUITE 312",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337603759",
"telephone_number": "727-726-3980",
"fax_number": "727-726-5345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14555 SIMS RD",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334848547",
"telephone_number": "561-496-1111",
"fax_number": "561-637-9990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GV LAUDERHILL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-04",
"last_updated": "2013-04-04",
"status": "A",
"authorized_official_last_name": "FORTE",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "727-726-3980",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "AL5113",
"primary": true
},
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": "FL",
"license": "AL5113",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Grand Villa of Delray Beach East",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.