Las Villas Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LAS VILLAS ALF LLC

Practice address

754 Festival Ave S
Lehigh Acres, FL 33974-0736

Phone

(239) 369-0631

Fax

(239) 673-7202

NPI assigned

Mar 12, 2020

Organization subpart

No

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

Authorized official

Name

Yanet Menendez

Title

Owner/Admin.

Phone

(392) 673-7202

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1548896343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 FESTIVAL AVE S",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339740736",
            "telephone_number": "239-369-0631",
            "fax_number": "239-673-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 FESTIVAL AVE S",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339740736",
            "telephone_number": "239-369-0631",
            "fax_number": "239-673-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS VILLAS ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-12",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "MENENDEZ",
        "authorized_official_first_name": "YANET",
        "authorized_official_title_or_position": "OWNER/ADMIN.",
        "authorized_official_telephone_number": "392-673-7202"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "13424",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Lehigh Acres, FL
• Providers in Lehigh Acres, 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 Dec 21, 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.