NPIMap

Organization Active NPI

Grand Villa of Altamonte Springs

  • Assisted Living Facility
  • Altamonte Springs, FL
National Provider Identifier
1639646839
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GRAND VILLA OF ALTAMONTE SPRINGS
Practice address
433 Orange Dr
Altamonte Springs, FL 32701-5377
Phone
(407) 260-2433
NPI assigned
Oct 26, 2018
Organization subpart
Yes
Parent organization
QSH/MID FLORIDA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Authorized official

Name
Stanley Brading
Title
President
Phone
(404) 888-0168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

433 Orange Dr
Altamonte Springs, FL 32701-5377

Mailing address

535 N Nova Rd
Ormond Beach, FL 32174-4405
Phone (404) 888-0168

National Provider Directory

National Provider Directory
Tax ID family
Grand Villa of Largo3 organizations share this tax ID, including this one
Part of
Grand Villa of Largo

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1639646839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 N NOVA RD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744405",
            "telephone_number": "404-888-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 ORANGE DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015377",
            "telephone_number": "407-260-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND VILLA OF ALTAMONTE SPRINGS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QSH/MID FLORIDA, LLC",
        "enumeration_date": "2018-10-26",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "BRADING",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-888-0168"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.