Grace Villa Alf

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL7408 Issued in FL

Legal business name

GRACE VILLA ALF

Practice address

1024 N John St
Orlando, FL 32808-7569

Phone

(407) 299-0946

Fax

(407) 299-9879

NPI assigned

Aug 1, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Julia Howard

Title

Administrator/Owner

Phone

(407) 299-0946

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1407264534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 N JOHN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087569",
            "telephone_number": "407-299-0946",
            "fax_number": "407-299-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 N JOHN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087569",
            "telephone_number": "407-299-0946",
            "fax_number": "407-299-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE VILLA ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "407-299-0946",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL7408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace & Growth Center
• Grace Dental, P.a.
• Grace Eyecare LLC
• Grace Manor Ret Inc (none)
• Grace Pharmspa, LLC (Grace PharmSpa)
• Grace Villa Facility LLC (Grace Manor)
• Melissa Grace, OTR/L
• Taffy Irene Grace, MSN, APRN, CPNP-PC
• Tanner Michael Grace, OD
• Grace's Place Alf LLC

• Assisted Living Facility (Mental Illness) in Orlando, FL
• Providers in Orlando, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.