Grande Cypress Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GRANDE CYPRESS ALF LLC

Practice address

970 SW Pinemount Rd
Lake City, FL 32024-5845

Phone

(386) 209-1440

NPI assigned

Nov 30, 2021

Organization subpart

Yes

Parent organization

SORENSEN & SMITH LLCAs reported in NPPES

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

Authorized official

Name

Michelle Ranee Norris

Title

Executive Director

Phone

(386) 209-1440

Specialties & licenses 1

Addresses

Part of

Sorensen Smith LLC

Locations

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1669130324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 SW COMMERCE DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320251505",
            "telephone_number": "386-209-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 SW PINEMOUNT RD",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320245845",
            "telephone_number": "386-209-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDE CYPRESS ALF LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SORENSEN & SMITH LLC",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "RANEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "386-209-1440"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Lake City, FL
• Providers in Lake City, 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 Nov 30, 2021; 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.