Organization Active NPI

Ginnys Place II

  • Assisted Living Facility
  • Melbourne, FL
National Provider Identifier
1386072858
Registry record updated Oct 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11473 Issued in FL
Legal business name
GINNYS PLACE II
Practice address
2251 Turtle Mound Rd
Melbourne, FL 32934-7650
Phone
(321) 258-2351
Fax
(866) 639-8798
NPI assigned
Oct 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2013

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

Authorized official

Name
Stephanie Durgin
Title
Administrator
Phone
(321) 258-2351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11473 FL Primary

Addresses

Primary practice location

2251 Turtle Mound Rd
Melbourne, FL 32934-7650

Mailing address

685 Rossmoor Cir
Melbourne, FL 32940-1963
Phone (321) 258-2351

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382313600000",
    "number": "1386072858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 ROSSMOOR CIR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401963",
            "telephone_number": "321-258-2351",
            "fax_number": "866-639-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 TURTLE MOUND RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329347650",
            "telephone_number": "321-258-2351",
            "fax_number": "866-639-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINNYS PLACE II",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2013-10-21",
        "status": "A",
        "authorized_official_last_name": "DURGIN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-258-2351"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.