Vanderbilt Beach Assisted Living Home, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL5582 Issued in FL

Legal business name

VANDERBILT BEACH ASSISTED LIVING HOME, LLC

Practice address

517 100TH Ave N
Naples, FL 34108-2235

Phone

(239) 597-5177

Fax

(239) 514-7253

NPI assigned

Jul 18, 2007

Organization subpart

No

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

Authorized official

Name

Megan Deavers

Title

Assistant Administrator

Phone

(239) 597-5177

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1366642407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 100TH AVE N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082235",
            "telephone_number": "239-597-5177",
            "fax_number": "239-514-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 100TH AVE N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082235",
            "telephone_number": "239-597-5177",
            "fax_number": "239-514-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDERBILT BEACH ASSISTED LIVING HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "DEAVERS",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "239-597-5177"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL5582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Vance, MS, OT/L
• Nancy J Vance, MD
• Tonny Vandehee, PT
• Amy Vanderaar
• Vanderbilt Beach Assisted Living Facility,LLC
• Vanderbilt Chiropractic Clinic, PA
• Vanderbilt Optical
• Allayna Marie Vanderheid, PA-C
• Jennifer Lynn Vanderheid
• Zoe Lynn Vanderheid, PA

• Assisted Living Facility in Naples, FL
• Providers in Naples, 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 Jul 18, 2007; 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.