Organization Active NPI

Royal Vista Assisted Living, Inc.

  • Assisted Living Facility
  • Lehigh Acres, FL
National Provider Identifier
1558082255
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ROYAL VISTA ASSISTED LIVING, INC.
Practice address
4922 Jordan Ave
Lehigh Acres, FL 33973-6047
Phone
(239) 710-2807
Fax
(239) 799-7388
NPI assigned
Sep 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Authorized official

Name
Rosemond Jeanty
Title
President
Phone
(239) 710-2807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4922 Jordan Ave
Lehigh Acres, FL 33973-6047

Mailing address

4922 Jordan Ave
Lehigh Acres, FL 33973-6047
Phone (239) 710-2807

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1558082255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4922 JORDAN AVE",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339736047",
            "telephone_number": "239-710-2807",
            "fax_number": "239-799-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4922 JORDAN AVE",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339736047",
            "telephone_number": "239-710-2807",
            "fax_number": "239-799-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL VISTA ASSISTED LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-09",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "JEANTY",
        "authorized_official_first_name": "ROSEMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-710-2807"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.

Verify at the official NPI Registry.