Grand Oaks of Jensen Beach, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GRAND OAKS OF JENSEN BEACH, LLC

Practice address

125 NW Jensen Beach Blvd
Jensen Beach, FL 34957-4486

Phone

(772) 286-1844

Fax

(772) 286-8758

NPI assigned

Jul 11, 2014

Organization subpart

No

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

Authorized official

Name

Laurie H Allen

Title

Alf Administrator

Phone

(772) 286-1844

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1437565348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 SE MONTEREY RD",
            "address_2": "SUITE # 300",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963351",
            "telephone_number": "772-286-1844",
            "fax_number": "772-286-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 NW JENSEN BEACH BLVD",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574486",
            "telephone_number": "772-286-1844",
            "fax_number": "772-286-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND OAKS OF JENSEN BEACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-11",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ALF ADMINISTRATOR",
        "authorized_official_telephone_number": "772-286-1844"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie M Gonzalez, M.A., M.S.
• Good Sisters & Brothers Homecare Services
• Meagan B Gordon
• Diane Beth Gowaty, CCC-SLP
• Lynn Lorna Graff, MA,MS, CCC-SLP
• Heather L Hackney, AU.D
• Barbara Halpern, R.D.
• Harlington L. Hanna Jr., OPTOMETRIC PHYSICIAN
• Felicia Hansen-Vela, APRN
• Megan M Harlan

• Assisted Living Facility in Jensen Beach, FL
• Providers in Jensen Beach, 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 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.