Organization Active NPI

GV Lauderhill, LLC

Doing business as Grand Villa of Delray Beach East

  • Assisted Living Facility
  • Delray Beach, FL
National Provider Identifier
1174866511
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL5113 Issued in FL
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

Updated by the provider on Apr 4, 2013

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.