Organization Active NPI

Venice Palms Senior Living, LLC

  • Assisted Living Facility
  • Venice, FL
National Provider Identifier
1588427769
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
VENICE PALMS SENIOR LIVING, LLC
Practice address
1121 Jacaranda Blvd
Venice, FL 34292-4586
Phone
(941) 246-7796
NPI assigned
Jan 31, 2024
Last updated
Jan 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Terence McCarthy
Title
Manager
Phone
(727) 683-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

1121 Jacaranda Blvd
Venice, FL 34292-4586

Mailing address

5801 Ulmerton Rd Ste 200
Clearwater, FL 33760-3951
Phone (727) 683-1200

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2321059Venice Palms Senior Living,LLC1121 Jacaranda Blvd, Venice, FL 34292Certificate of waiverMar 27, 2027

National Provider Directory

National Provider Directory

Locations

5801 Ulmerton Rd
Ste 200
Clearwater, FL 33760

NPI Registry JSON

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1588427769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 ULMERTON RD STE 200",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603951",
            "telephone_number": "727-683-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 JACARANDA BLVD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342924586",
            "telephone_number": "941-246-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENICE PALMS SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "727-683-1200"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.