Granville Aid Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

10A000 Issued in NJ

Legal business name

GRANVILLE AID OPCO LLC

Doing business as

Granville Place

Practice address

111 Sunset Rd
Burlington, NJ 08016-4159

Phone

(312) 725-7072

NPI assigned

Jan 7, 2015

Organization subpart

No

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

Authorized official

Name

Daniel Guill

Title

Coo

Phone

(312) 725-7072

Specialties & licenses 1

Addresses

Other names 1

• Granville Place Doing business as

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1386032837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N WABASH AVE STE 3700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606117605",
            "telephone_number": "312-725-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SUNSET RD",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164159",
            "telephone_number": "312-725-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANVILLE AID OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "GUILL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "312-725-7072"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "10A000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Granville Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Burlington, NJ
• Providers in Burlington, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.