GV Melbourne, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11991 Issued in FL

Legal business name

GV MELBOURNE, INC.

Doing business as

Grand Villa of Melbourne

Practice address

964 S Harbor City Blvd
Melbourne, FL 32901-1909

Phone

(321) 725-0300

Fax

(321) 725-0351

NPI assigned

Apr 4, 2013

Organization subpart

No

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 1

Addresses

Other names 1

• Grand Villa of Melbourne Doing business as

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": "1205179652",
    "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": "964 S HARBOR CITY BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011909",
            "telephone_number": "321-725-0300",
            "fax_number": "321-725-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GV MELBOURNE, INC.",
        "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": "AL11991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Villa of Melbourne",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cheryl Guyan
• Guyco Senior Living Concepts (Salus Assisted Living)
• Lindsay Kate Guyer, M,A., CCC-SLP
• Jenessa Guzman
• Jerome Guzman, M.D.
• Jasmine Gyant, LMHC
• H & F Pharmacy LLC (Viera Compounding Pharmacy)
• H & O Dental LLC
• H2 Rehabilitation Services of Florida LLC (Beachside Physical Therapy)
• H2 Rehabilitation Services of Florida LLC (Beachside Physical Therapy)

• Assisted Living Facility in Melbourne, FL
• Providers in Melbourne, 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 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.