Gahc4 Grande FL TRS Sub, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GAHC4 GRANDE FL TRS SUB, LLC

Doing business as

The Grande

Practice address

725 Desoto Ave
Brooksville, FL 34601-2813

Phone

(352) 437-8991

NPI assigned

Sep 20, 2017

Organization subpart

No

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

Authorized official

Name

Danny Prosky

Title

President

Phone

(949) 270-9200

Specialties & licenses 1

Addresses

Other names 1

• The Grande Doing business as

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505865600000",
    "number": "1598274755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18191 VON KARMAN AVE STE 300",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926127106",
            "telephone_number": "949-270-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 DESOTO AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346012813",
            "telephone_number": "352-437-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAHC4 GRANDE FL TRS SUB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2017-09-20",
        "status": "A",
        "authorized_official_last_name": "PROSKY",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-270-9200"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Grande",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madysin Fabiola Frederick
• David Brian Fritz, O.D.
• Joseph Fulton
• Ga Surgicalist LLC
• Virgene Ann Gabisch, L.M.T.
• Gahc4 Spring Oaks FL TRS Sub, LLC (Spring Oaks)
• Gurinder Pal Singh Gakhal, MD
• Carmen Regina Galda, ARNP
• Traci Galzerano
• Ganesh Chari MD LLC

• Assisted Living Facility in Brooksville, FL
• Providers in Brooksville, 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 Sep 20, 2017; 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.