Grand Court Lakes

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL8390 Issued in FL

Legal business name

GRAND COURT LAKES

Practice address

280 Sierra Dr
Miami, FL 33179-3894

Phone

(305) 654-5300

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Judith Godinez

Title

Owner

Phone

(305) 654-5300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568547891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 SIERRA DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 SIERRA DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793894",
            "telephone_number": "305-654-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND COURT LAKES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GODINEZ",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-654-5300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Amelia Granados
• Vanessa Maria Granados
• Grand 7TH Pharmacy by Kwik Stop LLC (Adv Pharmacy)
• Grand 7TH Pharmacy Stop Inc
• Grand Canal Doctors' Medical Services Inc.
• Grand Court Lakes Management,LLC
• Grand Court Village
• Grand Health Care Consulting LLC
• Grand Health Care Consulting LLC (Grand Health Institute)
• Grand Health Care Consulting LLC (Grand Health Institute)

• Assisted Living Facility in Miami, FL
• Providers in Miami, 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 Aug 22, 2020; 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.