Organization Active NPI

Villaverde Inc

Doing business as Riverview Retirement Center

  • Assisted Living Facility (Mental Illness)
  • Titusville, FL
National Provider Identifier
1568705473
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
AL7358 Issued in FL
Legal business name
VILLAVERDE INC
Doing business as
Riverview Retirement Center
Practice address
4470 S Washington Ave
Titusville, FL 32780-6646
Phone
(321) 383-2125
Fax
(321) 383-2125
NPI assigned
Mar 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Authorized official

Name
Mrs. Jean Alcedo Villaverde, RN, BSN
Title
Owner / Administrator
Phone
(407) 257-2070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X AL7358 FL Primary

Addresses

Primary practice location

4470 S Washington Ave
Titusville, FL 32780-6646

Mailing address

4470 S Washington Ave
Titusville, FL 32780-6646
Phone (321) 383-2125

Other names 1

  • Riverview Retirement Center Doing business as

National Provider Directory

National Provider Directory

Locations

4470 S Washington Ave
Titusville, FL 32780
Phone (321) 383-2125

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1568705473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4470 S WASHINGTON AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327806646",
            "telephone_number": "321-383-2125",
            "fax_number": "321-383-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4470 S WASHINGTON AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327806646",
            "telephone_number": "321-383-2125",
            "fax_number": "321-383-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAVERDE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "VILLAVERDE",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "ALCEDO",
        "authorized_official_title_or_position": "OWNER / ADMINISTRATOR",
        "authorized_official_telephone_number": "407-257-2070",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL7358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverview Retirement Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.