Grace Majestic Senior Residence LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GRACE MAJESTIC SENIOR RESIDENCE LLC

Practice address

1301 N 47TH Ave
Hollywood, FL 33021-4700

Phone

(954) 362-4100

NPI assigned

Apr 26, 2024

Organization subpart

No

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

Authorized official

Name

Diane C WalkerNPI 1609542430

Title

Administrator

Phone

(954) 553-4985

Specialties & licenses 1

Addresses

Other names 1

• Tomlins Luxurious Living LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diane Cecile Walker, APRN

  • Family Nurse Practitioner
  • Plantation, FL
  • NPI 1609542430
  NPD Authorized official

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1629824008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N 47TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330214700",
            "telephone_number": "954-362-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N 47TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330214700",
            "telephone_number": "954-362-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE MAJESTIC SENIOR RESIDENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-553-4985"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tomlins Luxurious Living LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Annmarie Goulbourne-Smith, APRN, PMHNP-BC
• Emily Lynn Gould, LCSW
• Armande Gourgue
• Bisma Gowani, DPM
• Gra Therapy Solutions, LLC
• Alexandra Grada, M.S., CCC-SLP
• Warren B. Graditor, PH.D.
• Connie Lynne Grady, ARNP
• Morgan B Graesch, PTA
• Tiana L Graham

• Assisted Living Facility in Hollywood, FL
• Providers in Hollywood, 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 Apr 26, 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.