NPIMap

Organization Active NPI

Almark Grove Assisted Living Facility, LLC

  • Respite Care
  • Orlando, FL
National Provider Identifier
1205387180
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
AL9874 Issued in FL
Legal business name
ALMARK GROVE ASSISTED LIVING FACILITY, LLC
Practice address
4502 Almark Dr
Orlando, FL 32839-1330
Phone
(407) 816-2019
NPI assigned
Oct 17, 2016
Organization subpart
Yes
Parent organization
ALMARK HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Mr. Texus Wallace
Title
Owner
Phone
(407) 656-2443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X AL9874 FL Primary

Addresses

Primary practice location

4502 Almark Dr
Orlando, FL 32839-1330

Mailing address

13920 Eylewood Dr
Winter Garden, FL 34787-4664
Phone (407) 656-2443

Other names 1

  • ALMARK HEALTH SERVICES, # II Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Almark Health Services II3 organizations share this tax ID, including this one
Part of
Almark Health Services II

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1205387180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13920 EYLEWOOD DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874664",
            "telephone_number": "407-656-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 ALMARK DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328391330",
            "telephone_number": "407-816-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALMARK GROVE ASSISTED LIVING FACILITY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALMARK HEALTH SERVICES, INC.",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "TEXUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-656-2443",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "FL",
            "license": "AL9874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALMARK HEALTH SERVICES, # II",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.