Grand Court W Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GRAND COURT W OPCO LLC

Practice address

295 SW 4TH Ave
Pompano Beach, FL 33060-6933

Phone

(718) 840-3355

NPI assigned

Nov 5, 2020

Organization subpart

No

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

Authorized official

Name

Jennifer Grajales

Title

Project Manager

Phone

(347) 988-4535

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1306447461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2357 60TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 SW 4TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606933",
            "telephone_number": "718-840-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND COURT W OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "GRAJALES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "347-988-4535"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Graham
• Kelly Ann Graham, OT
• Megan Graham
• Ronald Granados, PHARMD
• Grand Court Alf LLC
• Jill S Grant, MSW
• Nakeithia Grant
• Corinne Grasso
• Green Life Assisted Living Facility, LLC
• Julie Green

• Assisted Living Facility in Pompano Beach, FL
• Providers in Pompano Beach, 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 Nov 5, 2020; 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.