Deland Senior Care, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DELAND SENIOR CARE, LLC

Practice address

638 S Woodland Blvd
Deland, FL 32720-5878

Phone

(386) 734-6401

NPI assigned

Oct 28, 2021

Organization subpart

No

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

Authorized official

Name

Taylor Huston

Title

General Counsel

Phone

(321) 725-6131

Specialties & licenses 1

Addresses

Other names 3

• Cypress at the Groves Doing business as
• Magnolia at the Groves Doing business as
• The Groves at Alliance Community Doing business as

Tax ID family

Alliance Community for Retirement Living Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Deland Senior Care, LLC

  • Skilled Nursing Facility
  • Deland, FL
  • NPI 1366576837
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan Brook Johnson, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Palm Harbor, FL
  • NPI 1114211299
  NPD (past)

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1396409017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 S HARBOR CITY BLVD STE 240",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011936",
            "telephone_number": "317-514-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 S WOODLAND BLVD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327205878",
            "telephone_number": "386-734-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAND SENIOR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "HUSTON",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "321-725-6131"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cypress at the Groves",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Magnolia at the Groves",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Groves at Alliance Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deland Manor Assisted Living Corp
• Deland Medical Center LLC
• Deland Pediatric Associates M.D.P.a.
• Deland Primary Care and Aesthetics LLC
• Deland Senior Care, LLC
• Deland Smiles
• Deland Surgery Center LTD
• Deland Treatment Solutions, LLC
• Christian Lee Delassus
• Aida L Delcastillo, M.D.

• Assisted Living Facility in Deland, FL
• Providers in Deland, 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 Oct 28, 2021; 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.