Active NPI
DL Global Management Corp
Doing business as Renaissance Villa Assisted Living Facility
- Assisted Living Facility
- Orange City, FL
National Provider Identifier
1467234369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- DL GLOBAL MANAGEMENT CORP
- Doing business as
- Renaissance Villa Assisted Living Facility
- Practice address
- 2560 Shady LN
Orange City, FL 32763-9118 - Phone
- (386) 775-4453
- Fax
- (386) 775-4454
- NPI assigned
- Oct 16, 2023
- Last updated
- Nov 1, 2024
- Organization subpart
- Yes
- Parent organization
- DL GLOBAL MANAGEMENT CORP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dieudonne Lorgeat, RN
- Title
- Administrator
- Phone
- (786) 312-9654
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NU | Primary |
Addresses
Primary practice location
2560 Shady LN
Orange City, FL 32763-9118
Mailing address
2560 Shady LN
Orange City, FL 32763-9118
Phone (386) 775-4453
Other names 1
- Renaissance Villa Assisted Living Facility
National Provider Directory
National Provider Directory- Part of
- DL Global Management Corp
Locations
2560 Shady Ln
Orange City, FL 32763
Phone (386) 775-4453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730419200000",
"number": "1467234369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2560 SHADY LN",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327639118",
"telephone_number": "386-775-4453",
"fax_number": "386-775-4454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2560 SHADY LN",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327639118",
"telephone_number": "386-775-4453",
"fax_number": "386-775-4454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DL GLOBAL MANAGEMENT CORP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DL GLOBAL MANAGEMENT CORP",
"enumeration_date": "2023-10-16",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A",
"authorized_official_last_name": "LORGEAT",
"authorized_official_first_name": "DIEUDONNE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "786-312-9654",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Renaissance Villa Assisted Living Facility",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Orange City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.