Delray Beach Villa, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL5113 Issued in FL

Legal business name

DELRAY BEACH VILLA, LLC

Practice address

14555 Sims Rd
Delray Beach, FL 33484-8547

Phone

(561) 496-1111

Fax

(561) 637-9990

NPI assigned

Oct 23, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Vicky Giesy

Title

Executive Coordinator

Phone

(727) 726-3310

Specialties & licenses 1

Addresses

Other names 1

• Grand Villa of Delray Beach East Doing business as

Locations

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1487026969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 34TH WAY STE C",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713909",
            "telephone_number": "727-726-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14555 SIMS RD",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848547",
            "telephone_number": "561-496-1111",
            "fax_number": "561-637-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELRAY BEACH VILLA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "GIESY",
        "authorized_official_first_name": "VICKY",
        "authorized_official_title_or_position": "EXECUTIVE COORDINATOR",
        "authorized_official_telephone_number": "727-726-3310",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL5113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Villa of Delray Beach East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Delray Beach, FL
• Providers in Delray 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 Oct 23, 2015; 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.